Organization
MELANOMA AND CUTANEOUS ONCOLOGY SURGICAL SPECIALISTS MELANOMA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCPHEE (OWNER)
(419) 705-0279
Entity
Organization
Contact information
Practice address
1400 S ORLANDO AVE STE 101, WINTER PARK, FL 32789-5543
(419) 705-0279
Mailing address
4086 BERMUDA GROVE PL, LONGWOOD, FL 32779-3192
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
10/03/2023
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