Sun State Dermatology, LLC
Sun State Dermatology, LLC is a Dermatology Physician in Maitland, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
430 Lake Howell RdMaitland, FL 32751-5907
Phone: (407) 636-3113
Fax: (407) 636-3133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1093496432 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nathoo Rajiv — Practice Owner · (407) 636-3113 |
| NPI enumerated | July 28, 2023 |
| Last updated in NPPES | January 6, 2024 |
| Certification date | January 6, 2024 |
| Mailing address | 430 Lake Howell Rd, Maitland, FL 32751-5907 |
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Dr. Rajiv Kiran Nathoo, MD
430 Lake Howell Rd, Maitland, FL 32751-5907 · (407) 636-3113
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Jay Nguyen
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Park North Dermatology, PA
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