Organization
OCEANS DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEO D DAMSE (CEO)
(561) 405-3000
Entity
Organization
Contact information
Practice address
10151 ENTERPRISE CENTER BLVD, SUITE 204, BOYNTON BEACH, FL 33437-3761
(561) 235-4222
(561) 737-8583
Mailing address
10151 ENTERPRISE CENTER BLVD, SUITE 204, BOYNTON BEACH, FL 33437-3761
(561) 405-3000
(561) 459-1444
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VLXSP
BCBS
FL
Enumeration date
06/18/2018
Last updated
08/27/2020
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