Forefront Dermatology, S.C.
Dermatology in Orlando, FL. Organization (NPI-2).
NPI number1750198503
StatusActive
Last updated in NPPESDec 16, 2024
Details
- NPI
- 1750198503
- Entity type
- Organization (NPI-2)
- Legal business name
- Forefront Dermatology, S.C.
- Organization subpart
- No
- Enumeration date
- Dec 16, 2024
- Certification date
- Dec 16, 2024
- Last updated
- Dec 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – | |
| 207NS0135X | Dermatology, Procedural Dermatology | – | – | |
| 208200000X | Plastic Surgery | – | – |
Other names
- Knight Dermatology, A Forefront Dermatology Practice (Doing Business As)
Practice location
801 N Orange Ave Ste 520Orlando, FL 32801-5202
Phone 407-992-0660 · Fax 407-992-7702
Mailing address
801 York StManitowoc, WI 54220-4630
Phone 920-663-9008 · Fax 920-684-1439
Authorized official
Betsy J Wernli
President
9204820671
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