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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