| Space Coast Dermatology Clinic, Pllc | |
|
695 Cone Park Ct Merritt Island FL 32952-3755 | |
| (321) 453-3360 | |
| (321) 453-4586 |
| Full Name | Space Coast Dermatology Clinic, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 695 Cone Park Ct, Merritt Island, Florida |
| Authorized Official Name and Position | James A Earhart (PARTNER) |
| Authorized Official Contact | 3214533360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Space Coast Dermatology Clinic, Pllc 695 Cone Park Ct Merritt Island FL 32952-3755 Ph: (321) 453-3360 | Space Coast Dermatology Clinic, Pllc 695 Cone Park Ct Merritt Island FL 32952-3755 Ph: (321) 453-3360 |
| NPI Number | 1043423189 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 11/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043423189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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