| Unique Dermatology & Wellness Center Pa | |
|
4325 Lynx Paw Trl Valrico FL 33594-7426 | |
| (813) 684-9600 | |
| (813) 662-9777 |
| Full Name | Unique Dermatology & Wellness Center Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 4325 Lynx Paw Trl, Valrico, Florida |
| Authorized Official Name and Position | Dyan Jenelle Harvey-dent (OWNER) |
| Authorized Official Contact | 8136849600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unique Dermatology & Wellness Center Pa 4325 Lynx Paw Trl Valrico FL 33594-7426 Ph: (813) 684-9600 | Unique Dermatology & Wellness Center Pa 4325 Lynx Paw Trl Valrico FL 33594-7426 Ph: (813) 684-9600 |
| NPI Number | 1881754224 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 11/05/2019 |
| Medicare PECOS PAC ID | 1557361136 |
|---|---|
| Medicare Enrollment ID | O20070104000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881754224 | NPI | - | NPPES |
| U2552Z | Other | FL | SUPPLIER # |
| 271359400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS8642 (Florida) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | OS8642 (Florida) | Primary |
| Provider Name | Dyan J Harvey Dent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245263813 PECOS PAC ID: 5294719985 Enrollment ID: I20140214001479 |
Anytime Healthcare Home Visits Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3433 Lithia Pinecrest Rd Ste 347, Valrico, FL 33596 Phone: 813-578-4971 Fax: 813-726-0723 | |
Promedtc, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3109 Lithia Pinecrest Rd, Valrico, FL 33596 Phone: 718-666-8759 | |
Complete Health Of Tampa Bay Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1426 Bloomingdale Ave, Valrico, FL 33594 Phone: 813-684-8020 Fax: 813-662-6968 | |
Tampa General Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2211 Lithia Center Ln, Valrico, FL 33596 Phone: 813-660-7100 Fax: 813-660-6625 | |
Kids First Pediatric Care, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4343 Lynx Paw Trl, Valrico, FL 33596 Phone: 813-681-3800 Fax: 813-681-3883 | |
Crhg, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1548 Bloomingdale Ave, Valrico, FL 33596 Phone: 813-946-6283 | |
Baycare Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2470 Bloomingdale Ave Ste 123, Valrico, FL 33596 Phone: 813-586-8530 Fax: 813-605-6150 |