LUMINARY DERMATOLOGY, PA

BRADENTON, FL
NPI1851955983
Entity TypeOrganization
Authorized ContactJESSICA LYNN PHILLIPS
CEO
941-302-4669
Organization Subpart ?No
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
Additional Taxonomies174400000X Specialist
207N00000X Dermatology
207VG0400X Obstetrics & Gynecology, Gynecology
208200000X Plastic Surgery
208600000X Surgery
208D00000X General Practice
363A00000X Physician Assistant
363L00000X Nurse Practitioner
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date2019-04-24
Last Update Date2025-01-27
Business Address
LUMINARY DERMATOLOGY, PA
2101 61ST ST W
BRADENTON, FL 34209-5528
Phone number: 941-926-6553
Mailing Address
LUMINARY DERMATOLOGY, PA
4411 BEE RIDGE RD PMB 309
SARASOTA, FL 34233-2514
Phone number: 941-926-6553