Organization Active NPI

National Dermatology Healthcare LLC

  • Dermatology Physician
  • Tampa, FL
National Provider Identifier
1629387576
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
032.0050012 Issued in VT
Legal business name
NATIONAL DERMATOLOGY HEALTHCARE LLC
Practice address
8002 Gunn Hwy
Tampa, FL 33626-1603
Phone
(813) 880-7546
Fax
(813) 249-5210
NPI assigned
Sep 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Paul Paredes
Title
Human Resource
Phone
(813) 880-7546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 032.0050012 VT Primary

Addresses

Primary practice location

8002 Gunn Hwy
Tampa, FL 33626-1603

Mailing address

8002 Gunn Hwy
Tampa, FL 33626-1603
Phone (813) 880-7546

National Provider Directory

National Provider Directory

Locations

1746 Mountain Rd
Stowe, VT 05672
Phone (802) 760-1214

NPI Registry JSON

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1629387576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261603",
            "telephone_number": "813-880-7546",
            "fax_number": "813-249-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261603",
            "telephone_number": "813-880-7546",
            "fax_number": "813-249-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL DERMATOLOGY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "HUMAN RESOURCE",
        "authorized_official_telephone_number": "813-880-7546"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VT",
            "license": "032.0050012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.