NPI 1003582123
Skin Dermatology and Cosmetic Services, P.A.
Practice location
- Address
- 84 Pinnacles Dr STE 400, Palm Coast, FL 32164-2324
- Phone
- (386) 256-1969
- Fax
- (407) 599-7506
- Mailing address
- 865 Saxon Blvd, Orange City, FL 32763-8204
Authorised official
- Name
- Shawna Frame
- Title
- Billing Manager
- Phone
- (423) 525-5993
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1003582123
- Entity type
- Organization
- NPI issued
- 18 Aug 2021
- Record last updated
- 18 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.