ACUTE DERMATOLOGY CLINIC PA (NPI# 1427221605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427221605 |
| Entity Type | Organization |
| Organization Name | ACUTE DERMATOLOGY CLINIC PA |
| Practice Address |
9400 Gladiolus Dr Suite 320 Fort Myers FL 33908-6699 |
| Mailing Address |
Po Box 101295 Cape Coral FL 33910-1295 |
| Practice Telephone | 2394827546 |
| Mailing Telephone | 2394827546 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | DR. CHAU PAULINA VU (OWNER) |
| Authorized Official Telephone | 2394827546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | OS9425 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 274238100 | 05 | |
| FL | MEDICARE PTAN | AJ932 | 01 |
| Street Address |
9400 GLADIOLUS DR SUITE 320 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-6699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093707341 | Richard D Ornato | Physician Assistant | 9400 Gladiolus Dr, Suite 250, Fort Myers, FL 33908-6699 | 2005-08-22 |
| 1720433022 | Integrated Comprehensive Healthcare, LLC | Social Worker | 9400 Gladiolus Dr, Suite 340, Fort Myers, FL 33908-6699 | 2016-04-25 |
| 1558737148 | Scappa Urology, Pa | Urology | 9400 Gladiolus Dr, Suite 30, Fort Myers, FL 33908-6699 | 2015-08-18 |
| 1356733554 | Apex Foot & Ankle Center | Podiatrist | 9400 Gladiolus Dr, Suite 300, Fort Myers, FL 33908-6699 | 2015-02-24 |
| 1366857070 | Total Kidney Oversight Pa | Specialist | 9400 Gladiolus Dr, Fort Myers, FL 33908-6699 | 2014-06-23 |
| 1821343229 | Leonid B Trost Md LLC | Dermatology | 9400 Gladiolus Dr, Ste 320, Fort Myers, FL 33908-6699 | 2012-07-23 |
| 1992096788 | Jm2go, LLC. | Occupational Therapist | 9400 Gladiolus Dr, Suite #60, Fort Myers, FL 33908-6699 | 2011-04-27 |
| 1194050260 | Santo Ignacio Garcia | Occupational Therapist | 9400 Gladiolus Dr, Suite #60, Fort Myers, FL 33908-6699 | 2009-10-07 |
| 1598990509 | 21st Century Oncology LLC | Urology | 9400 Gladiolus Dr, Suite 30, Fort Myers, FL 33908-6699 | 2009-05-19 |
| 1598916611 | Paradise Coast Pavilion, LLC | Plastic Surgery | 9400 Gladiolus Dr, Suite 105, Fort Myers, FL 33908-6699 | 2008-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063089 | Lee County Sheriff's Office | Clinic/Center | 14311 Metropolis Ave Ste 102, Fort Myers, FL 33912-4442 | 2019-09-20 |
| 1891348264 | Rehab Specialist of Lee Corp | Clinic/Center | 6120 Winkler Rd Ste G, Fort Myers, FL 33919-8192 | 2019-07-24 |
| 1619431848 | Relief Md Rehab Specialists Inc | Clinic/Center | 2830 Winkler Ave Ste 118, Fort Myers, FL 33916-9301 | 2019-01-22 |
| 1437636396 | Sand Vision LLC | Clinic/Center | 6891 Daniels Pkwy Ste 140, Fort Myers, FL 33912-1503 | 2018-07-24 |
| 1376993980 | Adv An Ced Florida Medical Group, Corp. | Clinic/Center | 3900 Broadway Ste D-9, Fort Myers, FL 33901-8193 | 2016-06-14 |
| 1831430313 | Chiropractic Care of Sw Fl Pa | Clinic/Center | 3509 Fowler St, Fort Myers, FL 33901-0925 | 2013-03-08 |
| 1720324411 | Aids Healthcare Foundation | Clinic/Center | 2125 Illinois Ave, Fort Myers, FL 33901-3505 | 2012-12-27 |
| 1689931834 | Advance Health Solutions, Inc. | Clinic/Center | 2336 Cleveland Ave Ste B, Fort Myers, FL 33901-3540 | 2012-04-12 |
| 1811219058 | Family Chiro-rehab Center Inc | Clinic/Center | 14651 Palm Beach Blvd Ste 104, Fort Myers, FL 33905-2331 | 2010-02-15 |
| 1568792042 | Sw Rehabilitation Center Inc | Clinic/Center | 2675 Winkler Ave Ste 100, Fort Myers, FL 33901-9383 | 2010-01-06 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on ACUTE DERMATOLOGY CLINIC PA.
| 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.