Organization
DERMATOLOGY ON THE SPOT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITRA WELCH (PRESIDENT)
(386) 256-1444
Entity
Organization
Contact information
Practice address
3951 S NOVA RD, SUITE 3, PORT ORANGE, FL 32127-9270
(386) 256-1444
(321) 400-1118
Mailing address
3951 S NOVA RD, SUITE 3, PORT ORANGE, FL 32127-9270
(386) 256-1444
(321) 400-1118
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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