Provider Demographics
NPI:1609215912
Name:NOSKY P.A.
Entity Type:Organization
Organization Name:NOSKY P.A.
Other - Org Name:DAY STAR SKIN AND CANCER CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCHLAUDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-483-4950
Mailing Address - Street 1:512 CYPRESS PARKWAY
Mailing Address - Street 2:
Mailing Address - City:POINCIANA
Mailing Address - State:FL
Mailing Address - Zip Code:34759
Mailing Address - Country:US
Mailing Address - Phone:407-483-4950
Mailing Address - Fax:407-264-8955
Practice Address - Street 1:512 CYPRESS PARKWAY
Practice Address - Street 2:
Practice Address - City:POINCIANA
Practice Address - State:FL
Practice Address - Zip Code:34759
Practice Address - Country:US
Practice Address - Phone:407-483-4950
Practice Address - Fax:407-264-8955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHL401AMedicare PIN