| NPI | 1467022814 |
|---|---|
| Other Name | SUNCOAST MEDICAL CLINIC DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | LYNDA GORKEN VP, PFS 727-281-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-06-29 |