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1003007840
VENICE DERMATOLOGY CLINIC PA
VENICE, FL
NPI
1003007840
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Entity Type
Organization
Authorized Contact
BRUCE A BOYD
Owner
941-484-2250
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: FL ME69164)
Enumeration Date
2007-08-07
Last Update Date
2011-10-04
Business Address
VENICE DERMATOLOGY CLINIC PA
716 THE RIALTO
VENICE, FL 34285-3524
Phone number: 941-484-2250
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Mailing Address
VENICE DERMATOLOGY CLINIC PA
716 THE RIALTO
VENICE, FL 34285-3524
Phone number: 941-484-2250
Copy
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