Justin Fitz
Procedural Dermatology
7960 N Wickham Rd Ste 103
Melbourne
, Florida 32940-8096
Justin Fitz
Procedural Dermatology
7960 N Wickham Rd Ste 103
Melbourne
, Florida 32940-8096
(321) 241-6457
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Justin Fitz
- 7960 N Wickham Rd Ste 103
- Melbourne, FL
- Zip : 32940-8096
- Fax : (321) 241-6457
- Phone : (321) 428-4737
Second Address
- Justin Fitz
- 7960 N Wickham Rd Ste 103
- Melbourne, FL
- Zip : 32940-8096
- Fax : (321) 241-6457
- Phone : (321) 428-4737
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | PA9105662 | FL |
National Provider Identifier
| NPI | 1386933570 |
|---|---|
| Provider Name | Justin Fitz |
| First Address | Melbourne, FL 32940-8096 |
| Second Address | Melbourne, FL 32940-8096 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2011 |
| Last Update Date | 29/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.