Summer Moon
Dermatologist Procedural Dermatology
115 Highland Ave N
Largo
, Florida 33770
Summer Moon
Dermatologist Procedural Dermatology
115 Highland Ave N
Largo
, Florida 33770
(727) 584-0614
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About
Features
Specialties
- Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Summer Moon
- 115 Highland Ave N
- Largo, FL
- Zip : 33770-2530
- Fax : (727) 584-0614
- Phone : (727) 858-8591
Second Address
- Summer Moon
- 115 Highland Ave N
- Largo, FL
- Zip : 33770
- Fax : (727) 584-0614
- Phone : (727) 585-8591
Reviews
FAQs
Where did Summer Moon attend graduate school?
Where did Summer Moon do her residency?
Where did Summer Moon do her fellowship?
Is Summer Moon board certified?
What type of doctor is Summer Moon
In what state does Summer Moon practice in?
Where is Summer Moon ’s practice located?
What is Summer Moon ’s gender?
Is Summer Moon a sole practitioner?
Is Summer Moon accepting new patients?
What languages does Summer Moon speak?
Does Summer Moon accept insurance?
Does Summer Moon offers telemedicine?
What is Summer Moon ’s professional license number?
What is Summer Moon ’s NPI number?
Does Summer Moon have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 5101021452 | MI |
| Y | 207N00000X | Dermatologist | OS14644 | FL |
| N | 207NS0135X | Procedural Dermatology | OS14644 | FL |
National Provider Identifier
| NPI | 1457765968 |
|---|---|
| Provider Name | Summer Moon |
| First Address | Largo, FL 33770-2530 |
| Second Address | Largo, FL 33770 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2014 |
| Last Update Date | 20/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.