| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1184005068 | ADVANCED DERMATOLOGY OF GEORGIA, LLC | 151 SOUTHHALL LN | MAITLAND | FL | 327517176 | |||
| 1295721512 | ALBANY DERMATOLOGY CLINIC, PA | 151 SOUTHHALL LANE | MAITLAND | FL | 327517172 | |||
| 1831185057 | BASS | CHRISTOPHER | L | 151 SOUTHHALL LN | MAITLAND | FL | 327517176 | |
| 1114913332 | BUSH | KEVIN | K | 151 SOUTHHALL LN | MAITLAND | FL | 327517176 |