Florida Dermatology Associates Inc

NPI 1073577136 - Dermatology - 207ND0101X

NPI Details
NPI 1073577136
Enumeration Date 04/14/2006
Last Updated 03/19/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name RUBEN RUBEN
Position PRESIDENT
Phone (321) 768-1600
Fax (321) 768-6418
Practice Location
5070 MINTON RD NW
SUITE 5
PALM BAY FL, 32907-1157, US
Phone (321) 768-1600
Fax (321) 768-6418
Business Location
5070 MINTON RD NW
SUITE 3A
PALM BAY FL, 32907-1157, US
Phone (321) 768-1600
Fax (321) 799-4903
Toxanomy
Taxonomy Code 207ND0101X
License State Florida
License Number ME51282
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According to our database, Florida Dermatology Associates Inc NPI is 1073577136, taxonomy code is 207ND0101X and license number is ME51282, license state is located at Florida. Florida Dermatology Associates Inc physically located at 5070 Minton Rd Nw, Palm Bay FL, 32907-1157. NPI Number 1033115704 has the healthcare provider type.

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1073577136 NPI number is provided on an as is basis without warranty of any kind. 1073577136 is maintained by the National Plan & Provider Enumeration System. The contents of Florida Dermatology Associates Inc are for informational purposes only.