Clearwater Dermatologic & Aesthetic Institute PA
Dermatology in Clearwater, FL. Organization (NPI-2).
NPI number1073878286
StatusActive
Last updated in NPPESOct 22, 2012
Details
- NPI
- 1073878286
- Entity type
- Organization (NPI-2)
- Legal business name
- Clearwater Dermatologic & Aesthetic Institute PA
- Organization subpart
- No
- Enumeration date
- Jul 13, 2012
- Last updated
- Oct 22, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
1801 N. Belcher RoadSuite B
Clearwater, FL 33765-1452
Phone 727-669-3676 · Fax 727-669-3676
Mailing address
1801 N. Belcher RoadSuite B
Clearwater, FL 33765-1452
Phone 727-669-3676 · Fax 727-669-3676
Authorized official
Maria E Garcia-Cardona
Owner
7276693676
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