FLORIDA CENTER FOR DERMATOLOGY, P.A.
Dermatology at Southpark Blvd, Saint Augustine, FL

License number
Florida ME92201
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. JONATHAN KANTOR M.D.
Title: PRESIDENT
Phone: (904) 342-7765
Address
Address
105 Southpark Blvd SUITE A103, Saint Augustine, FL 32086
National Provider ID: 1073870341
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about FLORIDA CENTER FOR DERMATOLOGY, P.A. at bizstanding.com

Florida Center for Dermatology, PA

Saint Augustine, FL  -  Ponte Vedra, FL

Registration:
Feb 17, 2012
Addresses:
105 Southpark Blvd, Saint Augustine, FL 32086
6 Fairfield Blvd, Ponte Vedra, FL 32082
State ID:
P12000016468
Business type:
Domestic for Profit Corporation
President:
Jonathan Kantor (President)

Dermatology licenses in Florida




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