Provider Demographics
NPI:1528623923
Name:PROPER DERMATOLOGY PLLC
Entity type:Organization
Organization Name:PROPER DERMATOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANCH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:850-449-7318
Mailing Address - Street 1:30 DANIEL CIR
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32561-4571
Mailing Address - Country:US
Mailing Address - Phone:850-735-3376
Mailing Address - Fax:850-848-6373
Practice Address - Street 1:30 DANIEL CIR
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4571
Practice Address - Country:US
Practice Address - Phone:850-735-3376
Practice Address - Fax:850-848-6373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-01
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty