Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BOLD CITY DERMATOLOGY LLC
Active OrganizationBOLD CITY DERMATOLOGY LLC is a Obesity Medicine organization located in ST AUGUSTINE, Florida. NPI 1538761655 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · ST AUGUSTINE, FL
Registration Details
- NPI Number
- 1538761655
- Provider Type
- Organization
- NPI Issued
- Nov 13, 2020 (5.7827406485474 yrs)
- Last Updated
- Jan 26, 2021
Practice Information
- Address
-
316 PASEO REYES DRST AUGUSTINE, FL, 320958464Browse FL providers · Browse ZIP 32095
- Phone
- 9045445800
- Fax
- 9045445800
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- 207NP0225X
- Additional Specialty
- Obesity Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.