Organization
PRISIA DERMATOLOGY LLC
Active
Other names
Prisia Dermatology LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUSTIN SHARP (OWNER)
(727) 810-5524
Entity
Organization
Contact information
Practice address
9300 CONROY WINDERMERE RD, WINDERMERE, FL 34786-5000
(844) 844-5005
(844) 444-1228
Mailing address
PO BOX 216, WINDERMERE, FL 34786-0216
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
09/13/2022
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