Organization
OCEANSIDE DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BERNADETTE HERNE M.D. (PHYSICIAN/OWNER)
(561) 371-0251
Entity
Organization
Contact information
Practice address
3385 BURNS RD, SUITE 101, PALM BEACH GARDENS, FL 33410-4328
(561) 371-0251
(561) 493-8316
Mailing address
3385 BURNS RD, SUITE 101, PALM BEACH GARDENS, FL 33410-4328
(561) 371-0251
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
ME83379
FL
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
03/12/2008
Last updated
09/20/2012
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