Adult and Pediatric Dermatology Practitioners P A
Adult and Pediatric Dermatology Practitioners P A is a Specialist in Port St Lucie, Florida. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
8980 S US Highway 1 Ste 103Port St Lucie, FL 34952-3482
Phone: (772) 446-9100
Fax: (772) 446-9810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1417620469 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Masessa — President · (973) 625-0600 |
| NPI enumerated | July 27, 2021 |
| Last updated in NPPES | July 27, 2021 |
| Certification date | July 27, 2021 |
| Mailing address | 35 Green Pond Rd Ste C, Rockaway, NJ 07866-2057 |
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