Clearwater Dermatologic & Aesthetic Institute PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CLEARWATER DERMATOLOGIC & AESTHETIC INSTITUTE PA

Practice address

1801 N. Belcher Road
Suite B
Clearwater, FL 33765-1452

Phone

(727) 669-3676

Fax

(727) 669-3676

NPI assigned

Jul 13, 2012

Last updated

Oct 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria E Garcia-Cardona, MDNPI 1982895298

Title

Owner

Phone

(727) 669-3676

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria E Garcia-Cardona, M.D.

  • Dermatology Physician
  • Clearwater, FL
  • NPI 1982895298
  Authorized official Same address or phone

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1073878286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N. BELCHER ROAD",
            "address_2": "SUITE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651452",
            "telephone_number": "727-669-3676",
            "fax_number": "727-669-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N. BELCHER ROAD",
            "address_2": "SUITE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651452",
            "telephone_number": "727-669-3676",
            "fax_number": "727-669-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER DERMATOLOGIC & AESTHETIC INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "GARCIA-CARDONA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-669-3676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clearwater Counseling Center LLC
• Clearwater Dental Associates PL
• Clearwater Dental Care PLLC
• Clearwater Dentist Inc (Clearwater Dentist)
• Clearwater Dentistry
• Clearwater Dermatology, P.a.
• Clearwater Dreams Dental PA
• Clearwater Emdr LLC
• Clearwater Emergency Physicians
• Clearwater Family Medicine and Allergy, PA

• Dermatology Physician in Clearwater, FL
• Providers in Clearwater, 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 22, 2012; 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.