Orlando Dermatology Clinic, LLC
NPI #1427670595 in Fruitland Park, Florida
Provider Information
- NPI Number
- 1427670595
- Entity Type
- Organization
- Organization Name
- Orlando Dermatology Clinic, LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- May 12, 2020
- Last Updated
- Jul 14, 2021
Practice Location
- Address
- 3261 US HIGHWAY 441/27 STE F1
- City
- Fruitland Park
- State
- Florida
- ZIP Code
- 34731-4495
- Phone
- (352) 218-3211
Authorized Official
- Name
- TAREK S SHAATH, MD
- Title
- OWNER
- Phone
- (785) 760-6740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
| Dermatology - Procedural Dermatology — Procedural Dermatology |
| Non-Pharmacy Dispensing Site |
| Dermatology |
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