| NPI | 1508976010 |
|---|---|
| Doing Business As | PRIME DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | NEHA CHANDAN Owner 727-528-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME87149) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2026-06-04 |