Clear Skin Dermatology, P.A.
Dermatology in Clearwater, FL. Organization (NPI-2).
NPI number1336792811
StatusActive
Last updated in NPPESOct 29, 2019
Details
- NPI
- 1336792811
- Entity type
- Organization (NPI-2)
- Legal business name
- Clear Skin Dermatology, P.A.
- Organization subpart
- No
- Enumeration date
- Jul 23, 2019
- Last updated
- Oct 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – | |
| 207NS0135X | Dermatology, Procedural Dermatology | – | – |
Practice location
2454 N Mcmullen Booth Rd Ste 424Clearwater, FL 33759-1339
Phone 727-248-0118 · Fax 727-286-9555
Mailing address
2454 N Mcmullen Booth Rd Ste 424Clearwater, FL 33759-1339
Phone 727-248-0118 · Fax 727-286-9555
Authorized official
Rachel Epstein
President/Owner
7272480118
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