Organization
DERICK DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JANE DERICK MD (OWNER & MEDICAL DIRECTOR)
(847) 381-8899
Entity
Organization
Contact information
Practice address
5201 W KENNEDY BLVD STE 950, TAMPA, FL 33609-1823
(847) 381-8899
Mailing address
5201 W KENNEDY BLVD STE 950, TAMPA, FL 33609-1823
(847) 381-8899
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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