On Site Dermatology of South Carolina LLC

NPI #1710373352 in Boca Raton, Florida

Provider Information

NPI Number: 1710373352
Entity Type: Organization
Organization Name: On Site Dermatology of South Carolina LLC
Primary Specialty: Dermatology
Enumeration Date: Apr 10, 2015
Last Updated: Apr 10, 2015

Practice Location

Address: 902 CLINT MOORE RD
Address 2: SUITE 227
City: Boca Raton
State: Florida
ZIP Code: 33487-2800
Phone: (561) 314-2000

Authorized Official

Name: ADAM PLOTKIN, MD
Title: AUTHORIZED OFFICIAL
Phone: (561) 314-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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