Clear Choice Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CLEAR CHOICE DERMATOLOGY

Practice address

1255 60 Hwy E
Suite 100
Lake Wales, FL 33853

Phone

(407) 299-7333

Fax

(407) 293-2049

NPI assigned

Jul 22, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Rita Dobson

Title

Credentialing Dir.

Phone

(407) 299-7333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1669045183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 ASHLEY PARK CT STE 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356199",
            "telephone_number": "407-299-7333",
            "fax_number": "407-293-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 60 HWY E",
            "address_2": "SUITE 100",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "33853",
            "telephone_number": "407-299-7333",
            "fax_number": "407-293-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CHOICE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CREDENTIALING DIR.",
        "authorized_official_telephone_number": "407-299-7333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Fernanda Chirivella, DMD
• Richard Christman Jr., MPAS PAC
• Michelle Christy
• Armando Manuel Cid, DMD
• City of Lake Wales
• Christine M Clifton, PHARMD
• CMB-1 Retailer LLC
• Cogent Healthcare of Pensacola LLC
• Luris Coll Rivera, MSW, LCSW
• Barbara Louise Collette, PHARMD

• Dermatology Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.