1831425420 NPI number — DERMATOLOGY ASSOCIATES OF BAY COUNTY

Table of content: (NPI 1831425420)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831425420 NPI number — DERMATOLOGY ASSOCIATES OF BAY COUNTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DERMATOLOGY ASSOCIATES OF BAY COUNTY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PATHOLOGY SERVICES OF AMERICA DIVISION OF DERMATOLOGY ASSOCIATES OF BA
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831425420
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/09/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2430 LISENBY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PANAMA CITY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32405-3585
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-215-0953
Provider Business Mailing Address Fax Number:
850-215-0952

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2430 LISENBY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PANAMA CITY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-215-0953
Provider Business Practice Location Address Fax Number:
850-215-0952
Provider Enumeration Date:
11/02/2009

Additional Information

Authorized Official

Authorized Official Last Name:
ALEXANDER
Authorized Official First Name:
KENNETH
Authorized Official Middle Name:
WARREN
Authorized Official Title or Position:
LABORATORY MANAGER
Authorized Official Telephone Number:
850-215-0953

Provider Taxonomy Codes

  • Taxonomy code: 207ND0101X , with the licence number:  800025570 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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