Provider Demographics
NPI:1720966815
Name:DESTINATION DERMATOLOGY PA
Entity type:Organization
Organization Name:DESTINATION DERMATOLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARKHIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:941-231-2170
Mailing Address - Street 1:2850 HEIGHT ST STE 110
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240-1247
Mailing Address - Country:US
Mailing Address - Phone:941-231-2170
Mailing Address - Fax:941-231-2170
Practice Address - Street 1:2850 HEIGHT ST STE 110
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-1247
Practice Address - Country:US
Practice Address - Phone:941-231-2170
Practice Address - Fax:941-231-2170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty