Organization
NEIL SANDHU PA
Active
Organization
NEIL SANDHU PA
Active
Other names
Aspire Dermatology And Aesthetics, Annexus Dermatology & Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL SANDHU MD (OWNER/PRESIDENT)
(386) 628-3376
Entity
Organization
Contact information
Practice address
258 TREEMONTE DR STE 258, ORANGE CITY, FL 32763-7945
(386) 628-3376
Mailing address
258 TREEMONTE DR STE 258, ORANGE CITY, FL 32763-7945
(386) 628-3376
(386) 877-0188
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
07/08/2020
Last updated
10/26/2021
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