Professional Dermatology Associates
NPI #1932978988 in Winter Haven, Florida
Provider Information
- NPI Number
- 1932978988
- Entity Type
- Organization
- Organization Name
- Professional Dermatology Associates
- Primary Specialty
- Dermatology
- Enumeration Date
- Jan 1, 2024
- Last Updated
- Jan 1, 2024
Practice Location
- Address
- 217 E CENTRAL AVE
- City
- Winter Haven
- State
- Florida
- ZIP Code
- 33880-6312
- Phone
- (315) 363-7407
Authorized Official
- Name
- DR. RAYMOND R KNISLEY, DO
- Title
- OWNER
- Phone
- (940) 867-6030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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