Organization
IOANNIDES AND SANDERS DERMATOLOGY ASSOCIATES LLC
Active
Other names
Treasure Coast Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM IOANNIDES MD (PARTNER)
(772) 878-3376
Entity
Organization
Contact information
Practice address
140 SW CHAMBER CT, 200, PORT ST LUCIE, FL 34986-3414
(772) 878-3376
(772) 879-9970
Mailing address
140 SW CHAMBER CT, 200, PORT ST LUCIE, FL 34986-3414
(772) 878-3376
(772) 879-9970
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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