Gulfshore Dermatology at Coralwood, PA
NPI #1376029579 in Cape Coral, Florida
Provider Information
- NPI Number
- 1376029579
- Entity Type
- Organization
- Organization Name
- Gulfshore Dermatology at Coralwood, PA
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- Jul 11, 2018
- Last Updated
- Jul 11, 2018
Practice Location
- Address
- 326 DEL PRADO BLVD N STE 301
- City
- Cape Coral
- State
- Florida
- ZIP Code
- 33909-2288
- Phone
- (239) 458-1131
Authorized Official
- Name
- MR. ANDREW LEOPOLD SMITH
- Title
- VICE PRESIDENT
- Phone
- (239) 437-0562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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