MR. EDWARD B LACK (MD) – Dermatology Physician, NPI 1417955584
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. EDWARD B LACK (MD)
151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States
SUITE 300
MAITLAND, FL 327517176
Phone: (407) 875-2080
Fax: (407) 650-3544
Type: Mailing
Medical Oaks Avenue, Brandon, Hillsborough County, Florida, 33551, United States
SUITE 102
BRANDON, FL 335115995
Phone: (813) 651-1991
Fax: (813) 651-1401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32751)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 17003 | Destruction of 2-14 skin growths | 83 | 22 |
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