Venice Dermatology Clinic PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME69164 Issued in FL

Legal business name

VENICE DERMATOLOGY CLINIC PA

Practice address

716 The Rialto
Venice, FL 34285-3524

Phone

(941) 484-2250

Fax

(941) 484-9638

NPI assigned

Aug 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bruce A Boyd, MD

Title

Owner

Phone

(941) 484-2250

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Venice Dermatology Clinic PA

  • Dermatopathology Physician
  • North Port, FL
  • NPI 1801369020
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1003007840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 THE RIALTO",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853524",
            "telephone_number": "941-484-2250",
            "fax_number": "941-484-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 THE RIALTO",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853524",
            "telephone_number": "941-484-2250",
            "fax_number": "941-484-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENICE DERMATOLOGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-484-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME69164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venice Assisted Living Facility, LLC
• Venice Cardiovascular Anesthesia Associates PLLC
• Venice Cardiovascular Associates PL
• Venice Counseling PLLC
• Venice Dental Care, PA
• Venice Emergency Medical Associates
• Venice Emergency Medical Associates PA
• Venice Emergency Medical Associates PA
• Venice Eye Care Inc.
• Venice FL Opco LLC

• Dermatology Physician in Venice, FL
• Providers in Venice, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.