MEDICARE: ARMSTRONG DERMATOLOGY AND SKIN CANCER CENTER P A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	OS8083	FL

General Provider Information

NPI Number	:	1316102858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARMSTRONG DERMATOLOGY AND SKIN CANCER CENTER P A

Provider Business Mailing Address
First Line	:	9170 OAKHURST RD
Second Line	:	SUITE #1
City	:	SEMINOLE
State	:	FL
Zip	:	33776-2112
Country	:	US
Telephone Number	:	727-517-3376
Fax Number	:

Provider Business Practice Location Address
First Line	:	9170 OAKHURST RD
Second Line	:	SUITE #1
City	:	SEMINOLE
State	:	FL
Zip	:	33776-2112
Country	:	US
Telephone Number	:	727-517-3376
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN/ OWNER
Name	:	DR. FRANK THEODORE ARMSTRONG
Credential	:	D.O.
Telephone Number	:	727-517-3376

Provider Enumeration Date	:	07/24/2008
Last Update Date	:	08/27/2008

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