Organization
CENTER FOR SKIN CANCER SURGERY, INC.
Active
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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