Organization
PRESTIGE DERMATOLOGY INC
Active
Organization
PRESTIGE DERMATOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE L MONTICCIOLO DO (PROVIDER)
(727) 849-1447
Entity
Organization
Contact information
Practice address
5091 LITTLE ROAD, NEW PORT RICHEY, FL 34655
(727) 849-1447
(727) 849-3208
Mailing address
5091 LITTLE ROAD, NEW PORT RICHEY, FL 34655
(727) 849-1447
(727) 849-3208
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS7718
FL
Other
Enumeration date
06/06/2007
Last updated
10/01/2019
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