Orlando Skin Institute, LLC

NPI #1215319793 in Debary, Florida

Provider Information

NPI Number
1215319793
Entity Type
Organization
Organization Name
Orlando Skin Institute, LLC
Primary Specialty
Dermatology - Procedural Dermatology
Enumeration Date
Jun 22, 2015
Last Updated
Jun 22, 2015

Practice Location

Address
110 POND CT
Address 2
STE 301
City
Debary
State
Florida
ZIP Code
32713
Phone
(386) 742-0419

Authorized Official

Name
GARY WATERMAN, DO
Title
OWNER
Phone
(386) 742-0419

Specialties & Taxonomy Codes

Specialty
Dermatology - Procedural DermatologyProcedural Dermatology

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