Organization
SKIN DERMATOLOGY AND COSMETIC SERVICES, P.A.
Active
Organization
SKIN DERMATOLOGY AND COSMETIC SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA FRAME (BILLING MANAGER)
(423) 525-5993
Entity
Organization
Contact information
Practice address
84 PINNACLES DR STE 400, PALM COAST, FL 32164-2324
(386) 256-1969
(407) 599-7506
Mailing address
865 SAXON BLVD, ORANGE CITY, FL 32763-8204
(386) 256-1969
(407) 599-7506
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009563608
—
FL
Enumeration date
08/18/2021
Last updated
08/18/2021
Update your record
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