Organization
FLORIDA SKIN CANCER & DERMATOLOGY SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SKIDMORE JR. M.D. (PRESIDENT)
(352) 371-7546
Entity
Organization
Contact information
Practice address
3700 NW 83RD ST, GAINESVILLE, FL 32606-5603
(352) 371-7546
(352) 335-7546
Mailing address
PO BOX 357730, GAINESVILLE, FL 32635-7730
(352) 371-7546
(352) 335-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME59336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC1427
RAILROAD MEDICARE GROUP #
FL
01
—
P00057075
RAILROAD MEDICARE PIN
FL
Enumeration date
10/02/2006
Last updated
10/22/2007
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