Organization
ALACHUA COUNTY DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORA HANNON (PRESIDENT)
(386) 588-3138
Entity
Organization
Contact information
Practice address
16181 NW US HIGHWAY 441 UNIT 170, ALACHUA, FL 32615-6579
(386) 588-3138
Mailing address
16181 NW US HIGHWAY 441 UNIT 170, ALACHUA, FL 32615-6579
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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