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Organization
SKIN PROS LLC
Active
Organization
SKIN PROS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FRASURE ARNP (OWNER)
(407) 205-4947
Entity
Organization
Contact information
Practice address
12713 MAGNOLIA BAY BLVD, CLERMONT, FL 34711-8144
(407) 205-4947
Mailing address
12713 MAGNOLIA BAY BLVD, CLERMONT, FL 34711-8144
(407) 205-4947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/18/2023
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