Organization Active NPI

Skin Care Physicians

  • Dermatology Physician
  • Boynton Beach, FL
National Provider Identifier
1417099342
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
SKIN CARE PHYSICIANS
Practice address
7740 Boynton Beach Blvd
Boynton Beach, FL 33437-3804
Phone
(561) 752-8000
Fax
(561) 752-8001
NPI assigned
Feb 14, 2007
Reactivated
Sep 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Colleen Corman
Title
Practice Administrator
Phone
(561) 752-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

7740 Boynton Beach Blvd
Boynton Beach, FL 33437-3804

Mailing address

7740 Boynton Beach Blvd
Boynton Beach, FL 33437-3804
Phone (561) 752-8000

Other names 1

  • BOYNTON BEACH SKIN INSTITUTE Doing business as

National Provider Directory

National Provider Directory

Locations

10301 Hagen Ranch Rd
Ste C130
Boynton Beach, FL 33437
Phone (561) 364-5857

7740 W Boynton Beach Blvd
Boynton Beach, FL 33437
Phone (561) 752-5592

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1417099342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373804",
            "telephone_number": "561-752-8000",
            "fax_number": "561-752-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 BOYNTON BEACH BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373804",
            "telephone_number": "561-752-8000",
            "fax_number": "561-752-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CARE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-09-30",
        "deactivation_date": "2023-12-11",
        "reactivation_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "CORMAN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "561-752-8000"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOYNTON BEACH SKIN INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.