Organization
CONDE DERMATOLOGY GROUP PLLC
Active
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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