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 |