Organization · Type 2 NPI
Adult and Pediatric Dermatology Practitioners P A
Specialist · Port St. Lucie, FL
NPI number
1417620469
Active
Practice location
8980 S US Highway 1 Ste 103
Port St. Lucie, FL 34952-3482
Fax (772) 446-9810
Mailing address
35 Green Pond Rd Ste C
Rockaway, NJ 07866-2057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1417620469
Adult and Pediatric Dermatology Practitioners P A's National Provider Identifier is 1417620469, issued on Jul 27, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jul 27, 2021.