INDIGO DERMATOLOGY LLC is a specialist in Melbourne, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INDIGO DERMATOLOGY LLC NPI is 1659743094. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
675 S BABCOCK ST
MELBOURNE, FL
ZIP 32901-459
Phone: (321) 951-1010
Fax: (321) 952-4038
The provider's authorized official is Sumeet Thareja .
The authorized official title is Owner and has the following contact phone number (321) 951-1010.
The CLIA number assigned to this NPI record is 10D2107105 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 10/26/2015 and was last updated on 7/4/2019.