INTRACOASTAL DERMATOLOGY, PLLC

JACKSONVILLE, FL
NPI1194079988
Entity TypeOrganization
Authorized ContactKENDALL ADKISSON
Manager
904-655-5310
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: FL  ME110325)
Enumeration Date2012-11-01
Last Update Date2022-01-24
Business Address
INTRACOASTAL DERMATOLOGY, PLLC
4776 HODGES BLVD STE 105
JACKSONVILLE, FL 32224-7218
Phone number: 904-655-5310
Mailing Address
INTRACOASTAL DERMATOLOGY, PLLC
4776 HODGES BLVD STE 105
JACKSONVILLE, FL 32224-7218
Phone number: 904-655-5310
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