Sun State Dermatology, LLC

NPI #1093496432 in Maitland, Florida

Provider Information

NPI Number: 1093496432
Entity Type: Organization
Organization Name: Sun State Dermatology, LLC
Primary Specialty: Dermatology
Enumeration Date: Jul 28, 2023
Last Updated: Jan 6, 2024

Practice Location

Address: 430 LAKE HOWELL RD
City: Maitland
State: Florida
ZIP Code: 32751-5907
Phone: (407) 636-3113

Authorized Official

Name: NATHOO K RAJIV, MD
Title: PRACTICE OWNER
Phone: (407) 636-3113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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