Organization
GINA SEVIGNY M D P A
Active
Other names
Ormond Beach Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA M ADAMS (MANAGER)
(386) 615-1771
Entity
Organization
Contact information
Practice address
305 CLYDE MORRIS BLVD, SUITE 150, ORMOND BEACH, FL 32174-8181
(386) 615-1771
Mailing address
305 CLYDE MORRIS BLVD, SUITE 150, ORMOND BEACH, FL 32174-8181
(386) 615-1771
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME69303
FL
Other
Enumeration date
02/16/2007
Last updated
01/24/2023
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