Dazzling Dermatology, PLLC
NPI 1336752120ActiveOrganization· Dermatology· Boca Raton, FL
Dermatology in Boca Raton, Florida, registered in NPPES in August 2020. The authorized official on file is Eric W. Rudnick, MD, Owner/Dermatologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1336752120 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2020 |
| Last updated in NPPES | Aug 31, 2020 |
| Certified by provider | Aug 31, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, Dermatopathology | 207ND0900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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