Organization
CLEARSOLUTIONS DERMATOLOGY GROUP FLORIDA
Active
Organization
CLEARSOLUTIONS DERMATOLOGY GROUP FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON STABACK PA-C, MS (OWNER)
(732) 991-6579
Entity
Organization
Contact information
Practice address
175 SW 7TH ST STE 1812, MIAMI, FL 33130-2959
(877) 425-7756
Mailing address
6 MOONLIGHT DR, COLTS NECK, NJ 07722-1074
(732) 991-6579
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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