SUMMER MOON, DO

Dermatology

Active Individual
NPI: 1457765968

Practice Address

115 HIGHLAND AVE N
Largo, FL 33770

Phone: (727) 585-8591

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes OS14644 (FL)
Dermatology - Procedural Dermatology 207NS0135X No OS14644 (FL)

Frequently Asked Questions

NPI 1457765968 is the National Provider Identifier for SUMMER MOON, DO, a Dermatology provider located in Largo, FL. This NPI was enumerated on June 12, 2014.
SUMMER MOON, DO practices at 115 HIGHLAND AVE N, Largo, FL 33770.

Quick Facts

NPI
1457765968
Type
Individual
Enumerated
Jun 12, 2014
Last Updated
Nov 20, 2018

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