| NPI | 1538270335 |
|---|---|
| Doing Business As | RIVERCHASE DERMATOLOGY |
| Doing Business As | WATER'S EDGE DERMATOLOGY |
| Doing Business As | INTRACOASTAL DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | THEODORE SCHIFF Owner 239-313-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-02-27 |