Organization
ALOUPIS DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE TIDWELL (ADMINISTRATOR)
(561) 313-1230
Entity
Organization
Contact information
Practice address
2141 S ALTERNATE A1A STE 430, JUPITER, FL 33477-4063
(561) 313-1230
(561) 249-3192
Mailing address
2141 S ALTERNATE A1A STE 430, JUPITER, FL 33477-4063
(561) 313-1230
(561) 249-3192
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/13/2019
Last updated
08/06/2020
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