Organization
CENTER FOR SKIN CANCER SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNINE STEIN MD (OWNER)
(321) 428-4545
Entity
Organization
Contact information
Practice address
7960 N WICKHAM RD, SUITE 105, MELBOURNE, FL 32940
(321) 428-4545
(321) 421-7898
Mailing address
8057 SPYGLASS HILL RD, SUITE 102, MELBOURNE, FL 32940-8565
(321) 428-4545
(321) 421-7898
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME88079
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RH580
HFMG MA
FL
Enumeration date
07/17/2014
Last updated
08/25/2023
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