Organization
DIVANI DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAND HARYANI MD (MD/OWNER)
(772) 217-5362
Entity
Organization
Contact information
Practice address
8745 N US HIGHWAY 1, SEBASTIAN, FL 32958-7524
(772) 217-5362
(772) 218-7267
Mailing address
8745 N US HIGHWAY 1, SEBASTIAN, FL 32958-7524
(772) 217-5362
(772) 218-7267
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/07/2019
Last updated
04/15/2020
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