SOUTHSIDE DERMATOLOGY, P.A.

JACKSONVILLE, FL
NPI1023276607
Entity TypeOrganization
Authorized ContactMARY TRINH PENTEL
President
904-880-0622
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: FL  ME16473)
Enumeration Date2008-05-29
Last Update Date2014-07-02
Business Address
SOUTHSIDE DERMATOLOGY, P.A.
4727 SUNBEAM RD SUITE 101
JACKSONVILLE, FL 32257-6107
Phone number: 904-880-0622
Mailing Address
SOUTHSIDE DERMATOLOGY, P.A.
4727 SUNBEAM RD SUITE 101
JACKSONVILLE, FL 32257-6107
Phone number: 904-880-0622
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