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Southeastern Dermatology, Pa
Specialist in Tallahassee, Florida
NPI 1841229036

Southeastern Dermatology, Pa is a Specialist based in Tallahassee, FL. Southeastern Dermatology, Pa practices in Tallahassee, FL. The NPI Number for Southeastern Dermatology, Pa is 1841229036 and holds a License No. (Florida).

The current practice location address for Southeastern Dermatology, Pa is 2040 Fleischmann Rd, Tallahassee, FL and can be reached out via phone at 850-422-3376 and via fax at 850-205-7182.

Location: 2040 Fleischmann Rd, Tallahassee, FL, 32308-4599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841229036
Provider Name
Southeastern Dermatology, Pa
Credential
Provider Entity Type
Organization
Address
2040 Fleischmann Rd, Tallahassee, FL, 32308-4599
Phone Number
850-422-3376
Fax Number
850-205-7182
Provider Enumeration Date
07/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000595501 05 FL
10D0992605 01 FL CLIA
institution
Provider Business Practice Location Address Details
Address
2040 Fleischmann Rd
City
Tallahassee
State
Florida
Zip
32308-4599
Phone Number
850-422-3376
Fax Number
850-205-7182
person
Provider Business Mailing Address Details
Address
2040 Fleischmann Rd
City
Tallahassee
State
Florida
Zip
32308-4599
Phone Number
850-422-3376
Fax Number
850-205-7182
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
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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