Organization
SCA DERMATOLOGY, LLC
Active
Parent organization
SKIN AND CANCER ASSOCIATES, LLP
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKIN AND CANCER ASSOCIATES, LLP
Authorized official
RICHARD S, GREENE (MD / PRESIDENT)
(954) 473-6750
Entity
Organization
Contact information
Practice address
915 W MONROE ST, S. 101, JACKSONVILLE, FL 32204-1177
(904) 903-4345
Mailing address
1111 PARK CENTRE BLVD, S. 300, MIAMI GARDENS, FL 33169-5365
(305) 623-5595
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
03/16/2012
Last updated
03/14/2017
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