Organization
PROCTOR DERMATOLOGY & SKIN SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT PROCTOR MD (PRESIDENT)
(727) 345-8050
Entity
Organization
Contact information
Practice address
1609 PASADENA AVE S, SUITE 4 0, SOUTH PASADENA, FL 33707-4565
(727) 345-8050
(727) 345-4344
Mailing address
1609 PASADENA AVE S, SUITE 4 0, SOUTH PASADENA, FL 33707-4565
(727) 345-8050
(727) 345-4344
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/26/2007
Last updated
02/21/2008
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