ORLANDO DERMATOLOGY CLINIC, LLC

THE VILLAGES, FL
NPI1891257655
Doing Business AsCARE DERMATOLOGY AND SKIN CANCER CENTERS
Entity TypeOrganization
Authorized ContactTAREK SAMIR SHAATH
Dermatologist, LLC President
785-760-6740
Organization Subpart ?No
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
Additional Taxonomies207N00000X Dermatology
207ND0900X Dermatology, Dermatopathology
207NP0225X Dermatology, Pediatric Dermatology
207NS0135X Dermatology, Procedural Dermatology
332900000X Non-Pharmacy Dispensing Site
Enumeration Date2019-04-02
Last Update Date2020-05-21
Business Address
ORLANDO DERMATOLOGY CLINIC, LLC
1040 LAKE SUMTER LNDG
THE VILLAGES, FL 32162-2697
Phone number: 352-218-3211
Mailing Address
ORLANDO DERMATOLOGY CLINIC, LLC
697 OAK HOLLOW WAY
ALTAMONTE SPRINGS, FL 32714-1838
Phone number: 785-760-6740