INTRACOASTAL DERMATOLOGY, PLLC
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1194079988- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 4776 HODGES BLVD STE 105, JACKSONVILLE, FL, 322247218
- Phone
- (904) 655-5310
Specialties & Taxonomies
Dermatology
Primary License: FL #ME110325