Dermatology Advanced Care, P.A.
Dermatology in Tallahassee, FL. Organization (NPI-2).
NPI number1376714162
StatusActive
Last updated in NPPESMar 19, 2008
Details
- NPI
- 1376714162
- Entity type
- Organization (NPI-2)
- Legal business name
- Dermatology Advanced Care, P.A.
- Organization subpart
- No
- Enumeration date
- Mar 19, 2008
- Last updated
- Mar 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | OS7111 | FL | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | Master ID 8538 | – |
Practice location
2433 Mahan DrTallahassee, FL 32308-5329
Phone 850-219-8811 · Fax 850-219-8883
Mailing address
2433 Mahan DrTallahassee, FL 32308-5329
Phone 850-219-8811 · Fax 850-219-8883
Authorized official
James Brewster Caldwell
President
8502198811
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Other Dermatology providers in Tallahassee, FL
- Jaclyn B Anderson, MDNPI 1437730207
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- Dr. Michael John Ford, M.D.NPI 1508868860
- Dr. Ira Freilich, MDNPI 1427081496
- Dr. William Harris GreenNPI 1023213634
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