Organization
FLORIDA COMPREHENSIVE DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK KREIENBRINK RN (OWNER)
(352) 738-7546
Entity
Organization
Contact information
Practice address
3520 NE 43RD PL, OCALA, FL 34479-8899
(352) 738-7546
(352) 739-7546
Mailing address
3520 NE 43RD PL, OCALA, FL 34479-8899
(352) 738-7546
(352) 739-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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