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Contact Information

SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.
10973 SE 175TH PL STE 100
SUMMERFIELD, FL34491
 Phone: 352-873-7788
 Fax: 352-873-9397
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SKIN CANCER CENTER OF CENTRAL FLORIDA PA · (Female)

NPI Number 1336257450
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2006
Last updated 11/05/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME0062067
  • FL Medicaid 372699100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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