Dnp-Derm LLC
Dermatology in Plant City, FL. Organization (NPI-2).
NPI number1710695408
StatusActive
Last updated in NPPESJan 20, 2023
Details
- NPI
- 1710695408
- Entity type
- Organization (NPI-2)
- Legal business name
- Dnp-Derm LLC
- Organization subpart
- No
- Enumeration date
- Nov 10, 2022
- Certification date
- Jan 20, 2023
- Last updated
- Jan 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Practice location
2501 Walden Woods Dr # 4087Plant City, FL 33566-7168
Phone 813-330-0106 · Fax 833-464-3525
Mailing address
2501 Walden Woods Dr # 4087Plant City, FL 33566-9998
Phone 813-330-0106 · Fax 833-464-3525
Authorized official
Keischa N Cash
Ceo & Founder
3158822967
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