Southeastern Dermatology, PA

NPI #1841229036 in Tallahassee, Florida

Provider Information

NPI Number: 1841229036
Entity Type: Organization
Organization Name: Southeastern Dermatology, PA
Primary Specialty: Specialist
Enumeration Date: Jul 1, 2006
Last Updated: Jun 14, 2016

Practice Location

Address: 2040 FLEISCHMANN RD
City: Tallahassee
State: Florida
ZIP Code: 32308-4599
Phone: (850) 422-3376

Authorized Official

Name: DR. MICHAEL J FORD, MD
Title: MEDICAL DIRECTOR
Phone: (850) 422-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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