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Organization
ASSOCIATES IN MEDICAL AND SURGICAL DERMATOLOGY, P.A.
Active
Organization
ASSOCIATES IN MEDICAL AND SURGICAL DERMATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SETH GOODMAN M.D. (PRESIDENT)
(239) 598-4004
Entity
Organization
Contact information
Practice address
9125 CORSEA DEL FONTANA WAY, # 100, NAPLES, FL 34109-4396
(239) 598-4004
(239) 598-4713
Mailing address
9125 CORSEA DEL FONTANA WAY, # 100, NAPLES, FL 34109-4396
(239) 598-4004
(239) 598-4713
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04756
GOODMAN BLUE CROSS #
FL
01
—
42568
TUCKER BLUE CROSS #
FL
01
—
45192
GROUP BLUE CROSS #
FL
Enumeration date
06/16/2005
Last updated
08/22/2020
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