Acute Dermatology Clinic PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OS9425 Issued in FL

Legal business name

ACUTE DERMATOLOGY CLINIC PA

Practice address

9400 Gladiolus Dr
Suite 320
Fort Myers, FL 33908-6699

Phone

(239) 482-7546

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Chau Paulina Vu

Title

Owner

Phone

(239) 482-7546

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Jonelle K McDonnell, MD

  • Dermatology Physician
  • Cuyahoga Falls, OH
  • NPI 1003844937
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1427221605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101295",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339101295",
            "telephone_number": "239-482-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "address_2": "SUITE 320",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086699",
            "telephone_number": "239-482-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE DERMATOLOGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "CHAU",
        "authorized_official_middle_name": "PAULINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-482-7546",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "OS9425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AJ932",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274238100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edna Acquavella, ARNP
• Active Day FL, Inc. (Active Day of Fort Myers)
• Olivia Acton
• Actual Day Services Inc
• Acute Care Specialists of Ft Myers, PLLC
• Jennifer M. Adair, LCPC
• Stephanie Adamczak, MD
• Alina Adams, CRNA
• Brittany Adams, APRN
• Deanne Rachelle Adams, AU.D.

• Clinic/Center in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.