Organization
STEPHEN HORNELL, MD, PA
Active
Other names
Melbourne Dermatology Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN H HORNELL MD (PRESIDENT)
(321) 724-9650
Entity
Organization
Contact information
Practice address
333 E SHERIDAN RD, MELBOURNE, FL 32901-3152
(321) 724-9650
(321) 724-2643
Mailing address
333 E SHERIDAN RD, MELBOURNE, FL 32901-3152
(321) 724-9650
(321) 724-2643
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0024691
FL
207N00000X
Dermatology Physician
ME85500
FL
207N00000X
Dermatology Physician
ME89667
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45676
BCBS OF FL
FL
Enumeration date
11/07/2006
Last updated
08/22/2020
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