Organization
FLORIDA INSTITUTE OF DERMATOLOGY LLC
Active
Organization
FLORIDA INSTITUTE OF DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WAUDO WANGIA MD (MEDICAL DIRECTOR)
(352) 246-3254
Entity
Organization
Contact information
Practice address
1991 DANIELS RD, WINTER GARDEN, FL 34787
(407) 395-3770
(407) 395-3779
Mailing address
10747 EMERALD CHASE DR, ORLANDO, FL 32836-5876
(352) 246-3254
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
01/21/2020
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