Florida Skin Center Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

05007304 Issued in FL

Legal business name

FLORIDA SKIN CENTER INC

Practice address

13691 Metropolis Ave
Fort Myers, FL 33912-4318

Phone

(239) 561-3376

Fax

(239) 561-3020

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Anais Aurora Badia, DO MD

Title

Owner President

Phone

(239) 561-3376

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1730173709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13691 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124318",
            "telephone_number": "239-561-3376",
            "fax_number": "239-561-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13691 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124318",
            "telephone_number": "239-561-3376",
            "fax_number": "239-561-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA SKIN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "BADIA",
        "authorized_official_first_name": "ANAIS",
        "authorized_official_middle_name": "AURORA",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "239-561-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "05007304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58688",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.