Provider Demographics
NPI:1073601183
Name:SKIN CANCER CENTER OF THE TREASURE COAST, INC.
Entity Type:Organization
Organization Name:SKIN CANCER CENTER OF THE TREASURE COAST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOEWINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-569-5056
Mailing Address - Street 1:49 ROYAL PALM PT.
Mailing Address - Street 2:SUITE. 100
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-4295
Mailing Address - Country:US
Mailing Address - Phone:772-569-5056
Mailing Address - Fax:772-562-5098
Practice Address - Street 1:49 ROYAL PALM PT.
Practice Address - Street 2:SUITE. 100
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-4295
Practice Address - Country:US
Practice Address - Phone:772-569-5056
Practice Address - Fax:772-562-5098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty