Provider Demographics
NPI:1851400949
Name:DERMATOLOGY ASSOCIATES OF NAPLES LLC
Entity Type:Organization
Organization Name:DERMATOLOGY ASSOCIATES OF NAPLES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:LOSS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:585-272-0700
Mailing Address - Street 1:100 WHITE SPRUCE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-1507
Mailing Address - Country:US
Mailing Address - Phone:585-272-0700
Mailing Address - Fax:585-697-0822
Practice Address - Street 1:9510 BONITA BEACH RD SE
Practice Address - Street 2:UNIT 101
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4699
Practice Address - Country:US
Practice Address - Phone:239-597-1400
Practice Address - Fax:239-597-4144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0610123174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty