Organization
ADVANCED DERMATOLOGY CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMA JAIN (PRESIDENT)
(312) 485-9191
Entity
Organization
Contact information
Practice address
4800 S APOPKA VINELAND RD, ORLANDO, FL 32819-3127
(407) 876-5555
Mailing address
4800 S APOPKA VINELAND RD, ORLANDO, FL 32819-3127
(407) 876-5555
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME102573
FL
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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