Organization
GENESIS DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA FLANAGAN MD (OWNER)
(561) 296-5222
Entity
Organization
Contact information
Practice address
600 HERITAGE DR, SUITE 100, JUPITER, FL 33458-3000
(561) 296-5222
(561) 296-5221
Mailing address
600 HERITAGE DR, SUITE 100, JUPITER, FL 33458-3000
(561) 296-5222
(561) 296-5221
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
02/21/2012
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