Provider Demographics
NPI:1316162878
Name:DERMATOLOGY SPECIALISTS OF NAPLES INC
Entity type:Organization
Organization Name:DERMATOLOGY SPECIALISTS OF NAPLES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:STROHMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-261-2255
Mailing Address - Street 1:702 GOODLETTE RD N
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5628
Mailing Address - Country:US
Mailing Address - Phone:239-261-2255
Mailing Address - Fax:
Practice Address - Street 1:702 GOODLETTE RD N
Practice Address - Street 2:SUITE 200
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5628
Practice Address - Country:US
Practice Address - Phone:239-261-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2008-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0057825174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC87635Medicare UPIN
FLK0346Medicare ID - Type Unspecified