NPI 1194475046 · live from the CMS NPI Registry
Alachua County Dermatology INC
Dermatology in Alachua, FL. National Provider Identifier 1194475046, active.
NPI record
| NPI | 1194475046 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 16181 Nw Us Highway 441 Unit 170, Alachua, FL 32615 |
| Practice phone | 386-588-3138 |
| Enumerated | March 24, 2022 |
| Last updated | March 24, 2022 |
| Authorized official | Cora Hannon, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.