Organization
BRANDON COMPREHENSIVE DERMATOLOGY
Active
Other names
Brandon Comprehensive Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MALANE D.O. (DERMATOLOGIST)
(813) 846-7507
Entity
Organization
Contact information
Practice address
116 S MONTCLAIR AVE, BRANDON, FL 33511-5322
(813) 685-7714
Mailing address
116 S MONTCLAIR AVE, BRANDON, FL 33511-5322
(813) 685-7714
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OS7746
FL
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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