State Wide Dermatology LLC
NPI #1427473073 in Odessa, Florida
Provider Information
- NPI Number
- 1427473073
- Entity Type
- Organization
- Organization Name
- State Wide Dermatology LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Feb 19, 2014
- Last Updated
- Jul 28, 2014
Practice Location
Authorized Official
- Name
- MRS. KATHLEEN Y HARRELL, ARNP
- Title
- OWNER
- Phone
- (813) 749-6907
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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