ASSOCIATED DERMATOLOGIST PA

ORMOND BEACH, FL
NPI1861687071
Entity TypeOrganization
Authorized ContactJOHN C LONG
Owner
386-672-3111
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: FL  me68137)
Enumeration Date2007-09-11
Last Update Date2007-09-25
Business Address
ASSOCIATED DERMATOLOGIST PA
155 N NOVA RD
ORMOND BEACH, FL 32174-5138
Phone number: 386-672-3111
Mailing Address
ASSOCIATED DERMATOLOGIST PA
155 N NOVA RD
ORMOND BEACH, FL 32174-5138
Phone number: 386-672-3111
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