Healthcare Provider Details

I. General information

NPI: 1538098918
Provider Name (Legal Business Name): UVCLEAR DERMATOLOGY AND LASER CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7625 SW 65TH PLACE RD
OCALA FL
34474-1648
US

IV. Provider business mailing address

7625 SW 65TH PLACE RD
OCALA FL
34474-1648
US

V. Phone/Fax

Practice location:
  • Phone: 305-384-8599
  • Fax:
Mailing address:
  • Phone: 305-384-8599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: ELSIE QUIROS
Title or Position: PRESIDENT
Credential: NP
Phone: 305-384-8599