FLORIDA CENTER FOR DERMATOLOGY, P.A.

ST AUGUSTINE, FL
NPI1073870341
Entity TypeOrganization
Authorized ContactJONATHAN KANTOR
President
904-342-7765
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: FL  ME92201)
Enumeration Date2012-04-11
Last Update Date2012-04-11
Business Address
FLORIDA CENTER FOR DERMATOLOGY, P.A.
105 SOUTHPARK BLVD SUITE A103
ST AUGUSTINE, FL 32086-5191
Phone number: 904-342-7765
Mailing Address
FLORIDA CENTER FOR DERMATOLOGY, P.A.
105 SOUTHPARK BLVD SUITE A103
ST AUGUSTINE, FL 32086-5191
Phone number: 904-342-7765
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