Orlando Dermatology Clinic LLC
NPI #1821699232 in Fullerton, California
Provider Information
- NPI Number
- 1821699232
- Entity Type
- Organization
- Organization Name
- Orlando Dermatology Clinic LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Nov 3, 2020
- Last Updated
- Aug 26, 2022
Practice Location
- Address
- 1950 SUNNY CREST DR STE 1600
- City
- Fullerton
- State
- California
- ZIP Code
- 92835-3642
- Phone
- (352) 218-3211
Authorized Official
- Name
- DR. TAREK S SHAATH, MD
- Title
- OWNER
- Phone
- (785) 760-6740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
| Dermatology - Procedural Dermatology — Procedural Dermatology |
| Non-Pharmacy Dispensing Site |
| Dermatology |
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