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General NPI Number Information
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NPI Number | 1750396339
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Entity Type | Organization
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Legal Business Name | KEY WEST DERMATOLOGY INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1111 12TH ST STE 307
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City | KEY WEST
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State | FL
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Zip | 33040-3001
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Country | US
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Telephone | 305-296-3334
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Fax | 305-664-8898
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Provider Business Mailing Address
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Address Line | PO BOX 1910
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City | ISLAMORADA
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State | FL
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Zip | 33036-1910
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Country | US
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Telephone | 305-664-8828
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Fax | 305-664-8898
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID SCHILLINGER
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Credential | MD
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Telephone | 844-633-9358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 4528
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License Number State | FL
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