Organization
SANDERS DERMATOLOGY AND SKIN CANCER CENTER,LLC
Active
Organization
SANDERS DERMATOLOGY AND SKIN CANCER CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SCOTT SANDERS M.D. (MANAGING MEMBER)
(772) 778-7782
Entity
Organization
Contact information
Practice address
1155 35TH LN, SUITE 202, VERO BEACH, FL 32960-6521
(772) 778-7782
(772) 778-7879
Mailing address
1155 35TH LN, SUITE 202, VERO BEACH, FL 32960-6521
(772) 778-7782
(772) 778-7879
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
87851
FL
207NS0135X
Procedural Dermatology Physician
87851
FL
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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