Innovative Dermatology and Mohs Surgery LLC
NPI #1487049722 in Lehigh Acres, Florida
Provider Information
- NPI Number
- 1487049722
- Entity Type
- Organization
- Organization Name
- Innovative Dermatology and Mohs Surgery LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Apr 3, 2015
- Last Updated
- Apr 3, 2015
Practice Location
- Address
- 3507 LEE BLVD
- Address 2
- STE 107
- City
- Lehigh Acres
- State
- Florida
- ZIP Code
- 33971-1318
- Phone
- (239) 368-8071
Authorized Official
- Name
- DR. ANDREW P KONTOS, M.D.
- Title
- OWNER
- Phone
- (239) 368-8071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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