Hillcrest Dermatology and Plastic Surgery PA
Hillcrest Dermatology and Plastic Surgery PA is an MOHS-Micrographic Surgery Physician in Lady Lake, Florida. Licensed in Florida. Registered with an NPI since 2013.
- Licensed in
- FL
- In the registry since
- 2013
- Specialties on file
- 3
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
733 Highway 466Lady Lake, FL 32159-6340
Phone: (407) 999-2585
Fax: (407) 999-2628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X · Licence ME379241 (FL) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence OS8467 (FL) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence ME73625 (FL) |
Record details
| NPI number | 1861813719 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kendrick Spence — President · (407) 999-2585 |
| NPI enumerated | December 19, 2013 |
| Last updated in NPPES | December 19, 2013 |
| Mailing address | 130 Hillcrest St, Orlando, FL 32801-1210 |
Other providers in Lady Lake
-
Johnny Gurgen, DO
920 Rolling Acres Rd Unit 203, Lady Lake, FL 32159-5029 · (352) 435-7695