STATE WIDE DERMATOLOGY LLC
NPI 1427473073
Dermatology in Odessa, FL
About State Wide Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATE WIDE DERMATOLOGY LLC (NPI 1427473073) is a healthcare organization registered as a dermatology in Odessa, Florida and active in the NPI registry since February 2014. The organization lists Kathleen Y Harrell, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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.
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 State Wide Dermatology LLC's NPI number?
The NPI number for State Wide Dermatology LLC is 1427473073. It was assigned to this organization in the NPPES registry on February 19, 2014.
Where is State Wide Dermatology LLC located?
State Wide Dermatology LLC is located at 17121 Rainbow Ter, Odessa, FL 33556. The listed phone number is (813) 749-6907.
What is State Wide Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
When was this NPI record last updated?
The NPPES record for State Wide Dermatology LLC was last updated on July 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.