Organization
ASSOCIATES IN DERMATOLOGY M D P L
Active
Organization
ASSOCIATES IN DERMATOLOGY M D P L
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI L SKINNER M.D. (PRESIDENT)
(239) 936-5425
Entity
Organization
Contact information
Practice address
8381 RIVERWALK PARK BLVD, SUITE 101, FORT MYERS, FL 33919-8760
(239) 936-5425
(239) 936-5176
Mailing address
8381 RIVERWALK PARK BLVD, SUITE 101, FORT MYERS, FL 33919-8760
(239) 936-5425
(239) 936-5176
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2071559
AETNA
FL
01
—
77212
BC BS OF FLA
FL
01
—
CF4641
RAIL ROAD MEDICARE
FL
Enumeration date
04/07/2006
Last updated
05/05/2010
Update your record
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