Organization

Space Coast Dermatology Clinic, Pllc

Clinic/Center in Merritt Island, FL(View on Map)

Legal Business Name

Space Coast Dermatology Clinic, Pllc

NPI Number

1043423189

NPI Type

Organization

Enumeration Date

05/07/2007

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

695 CONE PARK CT
695 CONE PARK CT

City

Merritt Island
Merritt Island

State

FL
FL

Postal Code

32952-3755
32952-3755

Country

US
US

Telephone Number

(321) 453-3360
(321) 453-3360

Authorized Official

Name

Dr. James Earhart

Title or Position

PARTNER

Telephone Number

(321) 453-3360

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/18/2010

Provider Address

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Organization

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Organization

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