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Organization

CONDE DERMATOLOGY GROUP PLLC

Active
Other names
Conde Dermatology, Comprehensive Center for Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER MOSCOSO CONDE D.O. (CEO)
(813) 530-6511
Entity
Organization

Contact information

Practice address
5607 SKYTOP DRIVE, LITHIA, FL 33547
(813) 530-6511
Mailing address
5627 SKYTOP DR, LITHIA, FL 33547-4165

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OS12902
FL

Other

Enumeration date
03/21/2017
Last updated
03/18/2024
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