Organization
LUX DERMATOLOGY HAIR & SKIN INSTITUTE LLC
Active
Organization
LUX DERMATOLOGY HAIR & SKIN INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAUNCEY CALDWELL BARBULESCU MD (CEO/DERMATOLOGIST)
(507) 202-5713
Entity
Organization
Contact information
Practice address
4004 S MACDILL AVE STE 2, TAMPA, FL 33611-1551
(813) 669-5455
Mailing address
4004 S MACDILL AVE STE 2, TAMPA, FL 33611-1551
(813) 709-8681
(813) 725-1611
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730574898
—
FL
Enumeration date
03/21/2023
Last updated
04/08/2026
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