Water's Edge Dermatology

NPI #1477906857 in Orlando, Florida

Provider Information

NPI Number: 1477906857
Entity Type: Organization
Organization Name: Water's Edge Dermatology
Primary Specialty: Dermatology - Procedural Dermatology
Enumeration Date: Jul 20, 2016
Last Updated: Jul 20, 2016

Practice Location

Address: 7605 CONROY WINDERMERE RD
City: Orlando
State: Florida
ZIP Code: 32835-2646
Phone: (561) 693-0540

Authorized Official

Name: AMANDA MITCHELL
Title: BILLING DIRECTOR
Phone: (561) 693-0540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Dermatopathology — Dermatopathology	207ND0900X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X	Primary

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