Adult and Pediatric Dermatology Practitioners P a
NPI #1568135507 in Loxahatchee, Florida
Provider Information
- NPI Number
- 1568135507
- Entity Type
- Organization
- Organization Name
- Adult and Pediatric Dermatology Practitioners P a
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 27, 2021
- Last Updated
- Jul 27, 2021
Practice Location
- Address
- 13005 SOUTHERN BLVD STE 224
- City
- Loxahatchee
- State
- Florida
- ZIP Code
- 33470-9272
- Phone
- (561) 793-2929
Authorized Official
- Name
- JEFFREY T. MASESSA
- Title
- PRESIDENT
- Phone
- (973) 625-0600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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