Organization
SPACE COAST DERMATOLOGY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A EARHART M.D. (PARTNER)
(321) 453-3360
Entity
Organization
Contact information
Practice address
695 CONE PARK CT, MERRITT ISLAND, FL 32952-3755
(321) 453-3360
(321) 453-4586
Mailing address
695 CONE PARK CT, MERRITT ISLAND, FL 32952-3755
(321) 453-3360
(321) 453-4586
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
11/18/2010
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