Organization
CITRUS PARK DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY E. SMITH M.D. (PRESIDENT)
(813) 269-4122
Entity
Organization
Contact information
Practice address
6540 GUNN HWY, TAMPA, FL 33625-4022
(813) 269-4122
Mailing address
6540 GUNN HWY, TAMPA, FL 33625-4022
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME 72688
FL
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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