Organization
SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY F BARBER M.D. (PRESIDENT)
(352) 259-6553
Entity
Organization
Contact information
Practice address
10973 SE 175TH PL STE 100, SUMMERFIELD, FL 34491
(352) 873-7788
(352) 873-9397
Mailing address
10973 SE 175TH PL STE 100, SUMMERFIELD, FL 34491-8983
(352) 259-6553
(352) 873-9397
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0062067
FL
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372699100
—
FL
Enumeration date
08/28/2006
Last updated
11/05/2024
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