Distinctive Dermatology PLLC
Distinctive Dermatology PLLC is a Dermatology Physician in Lake Wales, Florida. Works from 2 locations. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
134 E Tillman AveLake Wales, FL 33853-4130
Phone: (863) 269-0790
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1255 State Road 60 E Ste 100, Lake Wales, FL 33853-4310 — (863) 269-0790
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1962088138 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Raymond Knisley — Owner · (863) 269-0790 |
| Other names | Lake Wales Dermatology |
| NPI enumerated | March 19, 2021 |
| Last updated in NPPES | April 14, 2021 |
| Certification date | April 14, 2021 |
| Mailing address | 134 E Tillman Ave, Lake Wales, FL 33853-4130 |
Other providers in Lake Wales
-
Eduvigia Ancaya, MD
1611 State Road 60 E, Lake Wales, FL 33853-4309 · (863) 676-6007
-
Clear Choice Dermatology
1255 60 Hwy E Ste 100, Lake Wales, FL 33853 · (407) 299-7333
-
James D. Morgan, MD, PA
1109 Bryn Mawr Ave, Lake Wales, FL 33853-4333 · (863) 676-3411
-
Mid-Florida Dermatology Associates
1255 Highway 60 E Ste 100, Lake Wales, FL 33853-4310 · (407) 299-7333
-
Dr. Brandon Tyler Worley, MD
421 Linden Ln, Lake Wales, FL 33853-4342 · (855) 353-7546