Florida Dermatology Plastic Surgery Llc is a health care provider in Melbourne, FL. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||6559 N Wickham Rd, Suite 105, Melbourne, FL 32940-2039, US|
|Practice Location Phone||321-345-0552|
|Practice Location Fax|
|Legal Business Name||FLORIDA DERMATOLOGY PLASTIC SURGERY LLC|
|Enumeration Date ?||Nov 29, 2016|
|Last Update Date ?||May 9, 2017|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Dermatology||Allopathic & Osteopathic Physicians||M82777||Florida|
|Plastic Surgery||Allopathic & Osteopathic Physicians||ME118444||Florida|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Florida Dermatology Plastic Surgery Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Anita Saluja (M.D.)|
|Authorized Official Title/Position||MANAGER|
|Authorized Official Phone Number||321-917-3067|