FLORIDA DERMATOLOGIC SURGERY & AESTHETICS INSTITUTE PA


Address: 11950 County Road 101, Suite 203, The Villages, FL 32162-9332
Phone: 3524302580

FLORIDA DERMATOLOGIC SURGERY & AESTHETICS INSTITUTE PA (NPI# 1427180645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427180645
Entity Type Organization
Organization Name FLORIDA DERMATOLOGIC SURGERY & AESTHETICS INSTITUTE PA
Practice Address 11950 County Road 101
Suite 203
The Villages
FL 32162-9332
Practice Telephone 3524302580
Practice Fax Number 3524302651
Mailing Telephone 3524302580
Mailing Fax Number 3524302651
Enumeration Date 2007-03-12
Last Update Date 2008-08-27
Authorized Official Name ASHRAF M HASSANEIN (OWNER)
Authorized Official Telephone 3524302580
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS FL 68908 01

Office Location

Street Address 11950 COUNTY ROAD 101
SUITE 203
City THE VILLAGES
State FL
Zip Code 32162-9332

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316937501 Bayoan D Martinez-cruz Internal Medicine 11950 County Road 101, Ste 206, The Villages, FL 32162-9334 2005-10-27
1548885858 Hilury Wei Ying Ha Dentist 11950 County Road 101, The Villages, FL 32162-9332 2020-06-11
1710420757 Atlantis Integrated Multispecialty Centers Urology 11950 County Road 101, The Villages, FL 32162-9332 2016-11-23
1407227283 Rochelle Luna Physician Assistant 11950 County Road 101, Suite 203, The Villages, FL 32162-9332 2015-10-19
1699915686 Manuel R Middleton Dentist 11950 County Road 101, Suite 104, The Villages, FL 32162-9332 2009-03-03
1922298454 John Joseph Im General Practice 11950 County Road 101, Suite 101, The Villages, FL 32162-9332 2007-07-31
1427253707 Clinical Pet of Ocala LLC Clinic/Center 11950 County Road 101, The Villages, FL 32162-9332 2007-06-18
1427149558 Florida Pathology Pa Clinical Medical Laboratory 11950 County Road 101, Suite 203, The Villages, FL 32162-9332 2006-09-27
1386758944 Maria Locher-claus Dentist 11950 County Road 101, Suite 204, The Villages, FL 32162-9332 2006-08-19
1700898467 Exceptional Urgent Care Center I Inc Clinic/Center 11950 County Road 101, Suite #101, The Villages, FL 32162-9332 2006-08-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831700939 Lana Nesheiwat Pharmacist 2235 Parr Drive, Lady Lake, FL 32162 2020-08-12
1619591393 Advanced Periodontics & Implant Care, LLC Dentist 1950 Laurel Manor Drive #184, The Villages, FL 32162 2020-05-29
1639719081 Retirement Five, LLC Skilled Nursing Facility 16605 Se 74th Souiliere Ave, The Villages, FL 32162 2020-01-14
1184263261 Eric William Allen Pharmacist Win Dixie Pharmacy #2545, 2500 Burnsed Blvd, The Villages, FL 32162 2020-01-06
1740828391 Tara Maria Jennings Irwin Physical Therapy Assistant 11962 Cr 101 #104, The Villages, FL 32162 2019-12-13
1851819254 Bio-medical Applications of Florida, Inc. Clinic/Center 310 Longview Ave, Lady Lake, FL 32162 2017-09-06
1033642327 Ben Miller Specialist/Technologist 251 Buffalo Trl, The Villages, FL 32162 2017-04-04
1932631173 Walgreen Co Durable Medical Equipment & Medical Supplies 620 Kristine Way, The Villages, FL 32162 2017-03-28
1639534522 Pamela Marie Bureau Registered Nurse 1020 Lake Sumter Landing, The Villages, FL 32162 2015-12-21
1669847059 Dawn Johnson Dental Assistant 8900 Mulberry Ln, The Villages, FL 32162 2015-12-10
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740703818 Creekside Dermatology Pa Dermatology 8630 E County Road 466 Ste A, The Villages, FL 32162-5614 2017-07-20
1366823775 Tarek S Shaath Dermatology 1040 Lake Sumter Lndg, The Villages, FL 32162-2697 2015-06-11
1518256932 Sean Mazloom Dermatology 1050 Old Camp Rd Ste 150, The Villages, FL 32162-1723 2011-04-06
1023246527 Charles F Knapp IIi Dermatology 2783 Brownwood Blvd, The Villages, FL 32163 2009-06-24
1164614004 David John Casper Dermatology 8620a E County Road 466, The Villages, FL 32162-3670 2007-08-14
1891319422 Dermatology Institute and Skin Cancer Center LLC Dermatology 2783 Brownwood Blvd, The Villages, FL 32163 2020-05-29
1891257655 Orlando Dermatology Clinic, LLC Dermatology 1040 Lake Sumter Lndg, The Villages, FL 32162-2697 2019-04-02
1134440365 Brandon Max Markus Dermatology 2783 Brownwood Blvd, The Villages, FL 32163 2010-06-22
1891805149 Michelle Thomas Snider Dermatology 1950 Laurel Manor Dr, Suite 224, The Villages, FL 32162-5603 2006-08-30
1902811219 Ashraf M Hassanein Dermatology 11950 County Road 101, Ste 203, The Villages, FL 32162-9332 2006-07-29
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City THE VILLAGES
Zip Code 32162

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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