Organization
DERMATOLOGY ASSOCIATES OF BAY COUNTY
Active
Organization
DERMATOLOGY ASSOCIATES OF BAY COUNTY
Active
Parent organization
DERMATOLOGY ASSOCIATES OF BAY COUNTY
Other names
Pathology Services of America Division of Dermatology Associates of Ba
Organization subpart
Yes
Provider details
NPI number
Legal business name
DERMATOLOGY ASSOCIATES OF BAY COUNTY
Authorized official
MR. KENNETH WARREN ALEXANDER HTL(ASCP) (LABORATORY MANAGER)
(850) 215-0953
Entity
Organization
Contact information
Practice address
2430 LISENBY AVE, PANAMA CITY, FL 32405
(850) 215-0953
(850) 215-0952
Mailing address
2430 LISENBY AVE, PANAMA CITY, FL 32405-3585
(850) 215-0953
(850) 215-0952
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
800025570
FL
Other
Enumeration date
11/02/2009
Last updated
11/09/2009
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