Organization
DERMATOLOGY CLINIC OF SOUTH FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAREN F MIKESH M.D. (MEDICAL DOCTOR)
(239) 775-3535
Entity
Organization
Contact information
Practice address
694 8TH ST N, NAPLES, FL 34102-5523
(239) 775-3535
(239) 775-3636
Mailing address
694 8TH ST N, NAPLES, FL 34102-5523
(239) 775-3535
(239) 775-3636
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME87847
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81413
BLUE CROSS PROVIDER NUMBE
FL
Enumeration date
12/12/2006
Last updated
03/08/2011
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