Winter Haven Dermatology PA

NPI #1528278363 in Winter Haven, Florida

Provider Information

NPI Number: 1528278363
Entity Type: Organization
Organization Name: Winter Haven Dermatology PA
Primary Specialty: Dermatology
Enumeration Date: May 23, 2007
Last Updated: May 14, 2008

Practice Location

Address: 560 AVENUE K SE
City: Winter Haven
State: Florida
ZIP Code: 33880-4203
Phone: (863) 299-3376

Authorized Official

Name: DR. STEPAN OLIVA, MD
Title: OWNER
Phone: (863) 299-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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