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
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