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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
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