Organization
BRANDON COMPREHENSIVE DERMATOLOGY PA
Active
Organization
BRANDON COMPREHENSIVE DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN LYNN MALANE DO (DOCTOR)
(813) 685-7714
Entity
Organization
Contact information
Practice address
116 S MONTCLAIR AVE, BRANDON, FL 33511-5322
(813) 685-7714
(813) 685-0113
Mailing address
116 S MONTCLAIR AVE, BRANDON, FL 33511-5322
(813) 685-7714
(813) 685-0113
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS7746
—
Other
Enumeration date
05/14/2015
Last updated
07/07/2015
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