| NPI | 1538249743 |
|---|---|
| Doing Business As | VIRGINIA STREET DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN P SOE Doctor Administrator 727-734-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL OS8204) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-08-03 |