Organization · Type 2 NPI

Porter Premier Dermatology and Surgery Center, PLLC

Dermatology Physician · Melbourne, FL

NPI number 1104152495 Active

Practice location

1515 W Nasa Blvd Ste 101
Melbourne, FL 32901-2605

Call (321) 308-0659 Map

Fax (321) 309-2881

Other practice locations

  • 6032 Farcenda Pl Ste 102, Melbourne, FL 32940-7341 · (321) 608-8160
  • 1344 S Apollo Blvd Ste 300, Melbourne, FL 32901-3183 · (321) 308-0659

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XME96233 (FL)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1104152495

Porter Premier Dermatology and Surgery Center, PLLC's National Provider Identifier is 1104152495, issued on Oct 22, 2009. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Melbourne, FL. The record was last updated on Mar 17, 2018.