Organization
DERMATOLOGY AND SKIN SURGERY CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN R GOODLESS MD (PRESIDENT)
(407) 566-1616
Entity
Organization
Contact information
Practice address
410 CELEBRATION PL, SUITE 301, CELEBRATION, FL 34747-5433
(407) 566-1616
Mailing address
410 CELEBRATION PL, SUITE 301, CELEBRATION, FL 34747-5433
(407) 566-1616
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0058612
FL
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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