North Florida Dermatology LLC
North Florida Dermatology LLC is a Dermatology Physician in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2016.
- Licensed in
- FL
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1722 SW Newland WayLake City, FL 32025-6915
Phone: (386) 344-6102
Fax: (386) 344-6103
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence ME122956 (FL) |
|---|
Record details
| NPI number | 1689023830 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly Tepedino — Owner · (386) 344-6102 |
| NPI enumerated | June 8, 2016 |
| Last updated in NPPES | March 7, 2024 |
| Certification date | March 7, 2024 |
| Mailing address | Po Box 530033, Atlanta, GA 30353-0033 |
Other providers in Lake City
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Kelly Diane Tepedino, MD
1722 SW Newland Way, Lake City, FL 32025-6915 · (386) 344-6102