Organization
SKIN CANCER SPECIALIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL KELLY (PRACTICE ADMINISTRATOR)
(941) 924-8080
Entity
Organization
Contact information
Practice address
5575 MARQUESAS CIR, SARASOTA, FL 34233-3332
(941) 924-8080
(941) 924-8089
Mailing address
5575 MARQUESAS CIR, SARASOTA, FL 34233-3332
(941) 924-8080
(941) 924-8089
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME81031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE3824
RAILROAD MCR GROUP
FL
01
—
P00289190
RAILROAD MCR PIN
FL
Enumeration date
10/15/2007
Last updated
10/31/2007
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