Organization
GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC
Active
Organization
GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC
Active
Other names
Advanced Dermatology & Skin Care Centre PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS W. BENDER III M.D. (OWNER)
(251) 631-3570
Entity
Organization
Contact information
Practice address
7720 US HIGHWAY 98 W, SUITE 340, MIRAMAR BEACH, FL 32550-7230
(251) 631-3570
(251) 631-3572
Mailing address
6701 AIRPORT BLVD, SUITE D232, MOBILE, AL 36608-6705
(251) 631-3570
(251) 631-3572
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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