Organization
FLORIDA DERMATOLOGIC SURGERY & AESTHETICS INSTITUTE PA
Active
Organization
FLORIDA DERMATOLOGIC SURGERY & AESTHETICS INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF M HASSANEIN MD (OWNER)
(352) 430-2580
Entity
Organization
Contact information
Practice address
11950 COUNTY ROAD 101, SUITE 203, THE VILLAGES, FL 32162-9332
(352) 430-2580
(352) 430-2651
Mailing address
11950 COUNTY ROAD 101, SUITE 203, THE VILLAGES, FL 32162-9332
(352) 430-2580
(352) 430-2651
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68908
BCBS FL
FL
Enumeration date
03/12/2007
Last updated
08/27/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up