Dermatology & Dermasurgery of Naples PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0076052 Issued in FL

Legal business name

DERMATOLOGY & DERMASURGERY OF NAPLES PA

Practice address

1108 Goodlette Rd N
Naples, FL 34102-5451

Phone

(239) 434-0303

Fax

(239) 262-8730

NPI assigned

Jul 26, 2006

Last updated

Jan 14, 2013By 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

Dr. Joel F Waltzer, M.D.NPI 1467416180

Title

Owner

Phone

(239) 434-0303

Specialties & licenses 1

Addresses

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.

• Joel F Waltzer, M.D.

  • Dermatology Physician
  • Naples, FL
  • NPI 1467416180
  Authorized official Same address or phone

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1689697815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 GOODLETTE RD N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025451",
            "telephone_number": "239-434-0303",
            "fax_number": "239-262-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 GOODLETTE RD N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025451",
            "telephone_number": "239-434-0303",
            "fax_number": "239-262-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY & DERMASURGERY OF NAPLES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "WALTZER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-434-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0076052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentists of South Naples, PA (Dentists of South Naples)
• Gregory Scott Denunzio, D.C.
• Matthew Jordan Denunzio, M.D.
• Alexandria Depasquale, DPT
• Catherine Ann Derenzo, DPT
• Dermatology Clinic of South Florida PA
• Dermatology Group of Florida PA
• Dermatology Specialists of Naples Inc
• Paul David Dernbach, ME
• Jack Derovanesian, MD

• Specialist in Naples, FL
• Providers in Naples, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.