Winter Haven Dermatology Pa

NPI 1528278363 - Dermatology - 207N00000X

NPI Details
NPI 1528278363
Enumeration Date 05/23/2007
Last Updated 05/14/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEPAN STEPAN
Position OWNER
Phone (863) 299-3376
Fax
Practice Location
560 AVENUE K SE
WINTER HAVEN FL, 33880-4203, US
Phone (863) 299-3376
Fax
Business Location
560 AVENUE K SE
WINTER HAVEN FL, 33880-4203, US
Phone (863) 299-3376
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Florida
License Number ME75639
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According to our database, Winter Haven Dermatology Pa NPI is 1528278363, taxonomy code is 207N00000X and license number is ME75639, license state is located at Florida. Winter Haven Dermatology Pa physically located at 560 Avenue K Se, Winter Haven FL, 33880-4203. NPI Number 1033115704 has the healthcare provider type.

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1528278363 NPI number is provided on an as is basis without warranty of any kind. 1528278363 is maintained by the National Plan & Provider Enumeration System. The contents of Winter Haven Dermatology Pa are for informational purposes only.