Organization
GOODLESS DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN GOODLESS MD (MANAGING MEMBER)
(407) 361-7126
Entity
Organization
Contact information
Practice address
410 CELEBRATION PL STE 301, CELEBRATION, FL 34747-5435
(407) 566-1616
(407) 566-1617
Mailing address
410 CELEBRATION PL STE 301, CELEBRATION, FL 34747-5435
(407) 566-1616
(407) 566-1617
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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