Organization
SKIN LOCAL DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GONZALEZ MARTINEZ PA (OWNER)
(786) 701-8106
Entity
Organization
Contact information
Practice address
9410 SW 77TH AVE, MIAMI, FL 33156-7903
(786) 701-8106
(844) 847-2493
Mailing address
9410 SW 77TH AVE, MIAMI, FL 33156-7903
(786) 701-8106
(844) 847-2493
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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