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Dermatology Associates Of Tallahassee PA

Dermatology in Tallahassee, FL. Organization (NPI-2).

NPI number1295842672
StatusActive
Last updated in NPPESJan 15, 2018

Details

NPI
1295842672
Entity type
Organization (NPI-2)
Legal business name
Dermatology Associates Of Tallahassee PA
Organization subpart
No
Enumeration date
Aug 23, 2006
Last updated
Jan 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology–FLYes

Practice location

1707 Riggins Rd
Tallahassee, FL 32308-5317

Phone 850-877-4134 · Fax 850-402-9130

Mailing address

Po Box 13859
Tallahassee, FL 32317-3859

Phone 850-877-4134 · Fax 850-402-9130

Authorized official

Brian Schaper
Practice Administrator
8508774134

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