Dermatology on the Spot, LLC

Organization Active NPI Dermatology Physician · Port Orange, FL

NPI 1487058533 · NPPES record last updated Oct 17, 2014

Key facts

NPI
1487058533
Entity type
Organization (NPI type 2)
Primary specialty
Dermatology Physician 207N00000X
Legal business name
DERMATOLOGY ON THE SPOT, LLC
Practice address
3951 S Nova Rd
Suite 3
Port Orange, FL 32127-9270
Phone
(386) 256-1444
Fax
(321) 400-1118
NPI assigned
Oct 17, 2014
Organization subpart
No

Authorized official

Name
Nitra Welch NPI 1821141714
Title
President
Phone
(386) 256-1444

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 38

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

View all 38

National Provider Directory

Locations

3951 S Nova Rd
Ste 1
Port Orange, FL 32127

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207N00000X Yes

Addresses

Primary practice location

3951 S Nova Rd
Suite 3
Port Orange, FL 32127-9270

Mailing address

3951 S Nova Rd
Suite 3
Port Orange, FL 32127-9270
Phone (386) 256-1444

Other providers in Port Orange, FL

All providers in Port Orange, FL · Dermatology Physician in Florida

Sources for this page

Verify at the official NPI Registry.