Organization
FLORIDA DERMCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH TEUSCHER BEARDSLEY ARNP-C (PRESIDENT)
(386) 365-2046
Entity
Organization
Contact information
Practice address
204 NW EMPORIA GLN, LAKE CITY, FL 32055-8516
(386) 365-2046
Mailing address
204 NW EMPORIA GLN, LAKE CITY, FL 32055-8516
(386) 365-2046
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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