Organization
SKIN CARE SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVENS C LEFLORE MD (OWNER)
(410) 489-6249
Entity
Organization
Contact information
Practice address
14959 OLD FREDERICK RD, WOODBINE, MD 21797-8613
(410) 489-6249
(206) 350-5127
Mailing address
14959 OLD FREDERICK RD, WOODBINE, MD 21797-8613
(410) 489-6249
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
D09546
MD
Other
Enumeration date
12/03/2010
Last updated
12/06/2010
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