Sunnycoast Dermatology, Inc.

NPI #1962487546 in Vero Beach, Florida

Provider Information

NPI Number: 1962487546
Entity Type: Organization
Organization Name: Sunnycoast Dermatology, Inc.
Primary Specialty: Dermatology
Enumeration Date: Dec 7, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 1850 43RD AVE
Address 2: SUITE 4 & 5 C
City: Vero Beach
State: Florida
ZIP Code: 32960-0504
Phone: (772) 299-4000

Authorized Official

Name: THEODOR MAJOR RUDOLPH, M.D.
Title: MEDICAL DIRECTOR/MEDICAL DOCTOR
Phone: (772) 299-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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