Organization
MELANOMA AND CUTANEOUS ONCOLOGY SURGICAL SPECIALISTS MELANOMA CLINIC
Active
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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