Organization
DERMATOLOGY ADVANCED CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BREWSTER CALDWELL D.O. (PRESIDENT)
(850) 219-8811
Entity
Organization
Contact information
Practice address
2433 MAHAN DR, TALLAHASSEE, FL 32308-5329
(850) 219-8811
(850) 219-8883
Mailing address
2433 MAHAN DR, TALLAHASSEE, FL 32308-5329
(850) 219-8811
(850) 219-8883
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS7111
FL
207ND0101X
MOHS-Micrographic Surgery Physician
MASTER ID 8538
—
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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