Individual
DR. ANDREW L SKIGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8708 PERIMETER PARK BLVD, SUITE 1, JACKSONVILLE, FL 32216-6354
(904) 565-1505
(904) 565-1506
Mailing address
7711 BAYMEADOWS RD E, STE 7, JACKSONVILLE, FL 32256-9110
(904) 565-1505
(904) 565-1506
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN14048
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075368800
—
FL
Enumeration date
12/29/2005
Last updated
10/19/2017
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