| Rederm PLLC | |
|
16133 Tuscany Hillside Rd Odessa FL 33556-2790 | |
| (253) 376-2388 | |
| Not Available |
| Full Name | Rederm PLLC |
|---|---|
| Speciality | General Practice |
| Location | 16133 Tuscany Hillside Rd, Odessa, Florida |
| Authorized Official Name and Position | Ranj Shwany (OWNER) |
| Authorized Official Contact | 2533762388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rederm PLLC 16133 Tuscany Hillside Rd Odessa FL 33556-2790 Ph: (253) 376-2388 | Rederm PLLC 16133 Tuscany Hillside Rd Odessa FL 33556-2790 Ph: (253) 376-2388 |
| NPI Number | 1659244796 |
|---|---|
| Provider Enumeration Date | 09/25/2025 |
| Last Update Date | 09/25/2025 |
| Certification Date | 09/25/2025 |
| Medicare PECOS PAC ID | 5496246845 |
|---|---|
| Medicare Enrollment ID | O20251113004561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659244796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Ranj Shwany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184354276 PECOS PAC ID: 4789067406 Enrollment ID: I20240328002512 |
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