INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC – Dermatology Physician, NPI 1568033066

INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC is a healthcare provider. based in Boca raton, Florida. specializing in Dermatology Physician. The NPI Number for INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC is 1568033066

Main info

Organization
Name
INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC
NPI
1568033066
Phone
(561) 431-2821
Address
4700 EXCHANGE CT STE 110
Authorized Official
DAVID FUENTES AUTHORIZED
Enumeration Date
6 July 2021
Last Update Date
6 July 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC

  • 4700 EXCHANGE CT STE 110

    BOCA RATON, FL 334314450

    Phone: (561) 431-2821

    Type: Mailing

  • 400 S MCCASLIN BLVD STE 100

    SUPERIOR, CO 800279701

    Phone: (303) 666-5261

    Fax: (303) 604-6062

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33431)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC?
INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC — NPI 1568033066 — is the standard way to identify this listing.
Can I rely on INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC being an active provider?
As of the registry snapshot, INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC is marked active.
What taxonomy line describes INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC?
For research purposes, treat INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC list a practice location?
Patients near Boca Raton, Florida may find INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC in results; validate coverage separately.
Why does INTEGRATED DERMATOLOGY OF BOULDER CREEK, LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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