Space Coast Dermatology Clinic, Pllc
NPI #1043423189 in Merritt Island, Florida
Provider Information
- NPI Number
- 1043423189
- Entity Type
- Organization
- Organization Name
- Space Coast Dermatology Clinic, Pllc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 7, 2007
- Last Updated
- Nov 18, 2010
Practice Location
- Address
- 695 CONE PARK CT
- City
- Merritt Island
- State
- Florida
- ZIP Code
- 32952-3755
- Phone
- (321) 453-3360
Authorized Official
- Name
- DR. JAMES A EARHART, M.D.
- Title
- PARTNER
- Phone
- (321) 453-3360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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