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American Dermatology Associates INC

Dermatology, MOHS-Micrographic Surgery in Sarasota, FL. Organization (NPI-2).

NPI number1225065741
StatusActive
Last updated in NPPESApr 28, 2025

Details

NPI
1225065741
Entity type
Organization (NPI-2)
Legal business name
American Dermatology Associates INC
Organization subpart
No
Enumeration date
Jun 28, 2006
Certification date
Apr 28, 2025
Last updated
Apr 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ND0101X Dermatology, MOHS-Micrographic SurgeryME92484FLYes

Practice location

5969 Cattleridge Blvd Ste 102
Sarasota, FL 34232-6050

Phone 941-379-6647 · Fax 941-379-0611

Mailing address

5969 Cattleridge Blvd Ste 102
Sarasota, FL 34232-6050

Phone 941-379-6647 · Fax 941-379-0611

Authorized official

Jennifer T Plush
President
9413796647

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