State Wide Dermatology LLC
State Wide Dermatology LLC is a Dermatology Physician in Odessa, Florida. Registered with an NPI since 2014.
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
17121 Rainbow TerOdessa, FL 33556-2107
Phone: (813) 749-6907
Fax: (813) 475-7831
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 |
|---|
Record details
| NPI number | 1427473073 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathleen Harrell — Owner · (813) 749-6907 |
| NPI enumerated | February 19, 2014 |
| Last updated in NPPES | July 28, 2014 |
| Mailing address | 17121 Rainbow Ter, Odessa, FL 33556-2107 |