Dermatology Centres-Treasure Coast P a

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY CENTRES-TREASURE COAST P A

Practice address

528 SE Osceola St
2ND Floor
Stuart, FL 34994-2366

Phone

(772) 287-3020

NPI assigned

Mar 26, 2007

Last updated

Jan 4, 2011By 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

Mrs. Angela Marie Watt

Title

President

Phone

(561) 637-0222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1508983131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 LINTON BLVD",
            "address_2": "SUITE C4-5",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846596",
            "telephone_number": "561-637-0222",
            "fax_number": "561-637-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 SE OSCEOLA ST",
            "address_2": "2ND FLOOR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942366",
            "telephone_number": "772-287-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CENTRES-TREASURE COAST P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-637-0222",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shateria Brinae Denton
• Tracy Ann Depaola, ARNP
• Edgar Joseph Depool, PT
• Robert M Dermarkarian, M.D.
• Dermatology Associates of the Treasure Coast P a
• Alpana A Desai, M.D.
• Jamie Lee Descalzo, RBT
• Krishnaraj Gopal Deshpande, D.O.
• Stacie M Desjardins, MOTR/L
• Elaine Desman, CRNA

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

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