Family Dermatology Of North Florida LLC
Dermatology in Tallahassee, FL. Organization (NPI-2).
NPI number1033752969
StatusActive
Last updated in NPPESMar 26, 2024
Details
- NPI
- 1033752969
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Dermatology Of North Florida LLC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2019
- Certification date
- Mar 26, 2024
- Last updated
- Mar 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
1981 Capital Cir NeTallahassee, FL 32308-4421
Phone 850-402-9444 · Fax 850-402-0188
Mailing address
1981 Capital Cir NeTallahassee, FL 32308-4421
Phone 850-402-9444 · Fax 850-402-0188
Authorized official
Oen-Hiang Cynthia Tie
Authorized Official
8504029444
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