DAZZLING DERMATOLOGY, PLLC
NPI 1336752120
Dermatology in Boca Raton, FL

Active since August 31, 2020CLIA 10D2194282 · Certificate of Compliance
22029 STATE ROAD 7 STE 1, BOCA RATON, FL 33428(561) 923-0905 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dazzling Dermatology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAZZLING DERMATOLOGY, PLLC (NPI 1336752120) is a healthcare organization registered as a dermatology in Boca Raton, Florida and active in the NPI registry since August 2020. The organization holds a CLIA Certificate of Compliance certificate valid through June 20, 2027 and lists Eric W Rudnick, Owner/dermatologist, as its authorized official.

NPPES Registry Identity

NPI1336752120
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDAZZLING DERMATOLOGY, PLLC
Location Address22029 STATE ROAD 7 STE 1Boca Raton, FL 33428-4200
Mailing Address22029 State Road 7 Ste 1Boca Raton, FL 33428-4200 · (561) 923-0905
Organization SubpartNo
Authorized OfficialEric W RudnickOwner/dermatologist · (561) 923-0905
Enumeration DateAugust 31, 2020
NPPES CertifiedAugust 31, 2020
NPI 1336752120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
22029 STATE ROAD 7 STE 1, Boca Raton, FL 33428

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2194282

Dazzling Dermatology, PLLC · Boca Raton, FL
Active · expires Jun 20, 2027
CLIA Number10D2194282
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorEric W. Rudnick
Laboratory Phone(561) 923-0905
Laboratory LocationDazzling Dermatology, PLLC22029 Sr 7 Ste 101, Boca Raton, FL 33428
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
22029 STATE ROAD 7 STE 1
BOCA RATON, FL 33428
Physician Assistant
22029 STATE ROAD 7 STE 1
BOCA RATON, FL 33428

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dazzling Dermatology, PLLC's NPI number?

The NPI number for Dazzling Dermatology, PLLC is 1336752120. It was assigned to this organization in the NPPES registry on August 31, 2020.

Where is Dazzling Dermatology, PLLC located?

Dazzling Dermatology, PLLC is located at 22029 State Road 7 Ste 1, Boca Raton, FL 33428. The listed phone number is (561) 923-0905.

What is Dazzling Dermatology, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Dazzling Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2194282) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dazzling Dermatology, PLLC was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.