# 3SIXTY DERMATOLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447876438
- **Authorized official:** DR. NASHAY N CLEMETSON MD (OWNER)
- **Authorized official phone:** (954) 592-9637

## Contact information

- **Practice address:** 2964 N STATE ROAD 7 STE 200, MARGATE, FL 33063-5715
- **Practice address phone:** (954) 648-1616
- **Practice address fax:** (817) 612-3586
- **Mailing address:** 10002 NW 36TH ST, CORAL SPRINGS, FL 33065-2820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/25/2020
- **Last updated:** 06/25/2020