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1043423189
SPACE COAST DERMATOLOGY CLINIC, PLLC
MERRITT ISLAND, FL
NPI
1043423189
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Entity Type
Organization
Authorized Contact
JAMES A EARHART
Partner
321-453-3360
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2007-05-07
Last Update Date
2010-11-18
Business Address
SPACE COAST DERMATOLOGY CLINIC, PLLC
695 CONE PARK CT
MERRITT ISLAND, FL 32952-3755
Phone number: 321-453-3360
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Mailing Address
SPACE COAST DERMATOLOGY CLINIC, PLLC
695 CONE PARK CT
MERRITT ISLAND, FL 32952-3755
Phone number: 321-453-3360
Copy
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