Advanced Dermatology Care Sc
Dermatology in Orlando, FL. Organization (NPI-2).
NPI number1023386430
StatusActive
Last updated in NPPESDec 13, 2011
Details
- NPI
- 1023386430
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Dermatology Care Sc
- Organization subpart
- No
- Enumeration date
- Dec 13, 2011
- Last updated
- Dec 13, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | ME102573 | FL | Yes |
Practice location
4800 S Apopka Vineland RdOrlando, FL 32819-3127
Phone 407-876-5555
Mailing address
4800 S Apopka Vineland RdOrlando, FL 32819-3127
Phone 407-876-5555
Authorized official
Sima Jain
President
3124859191
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