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1104225887
DERMATOLOGY BOUTIQUE PA
HALLANDALE BEACH, FL
NPI
1104225887
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Entity Type
Organization
Authorized Contact
CYNTHIA ANN GOLOMB
Owner
855-465-6621
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: FL ME74763)
Enumeration Date
2014-08-18
Last Update Date
2020-02-25
Business Address
DERMATOLOGY BOUTIQUE PA
110 N FEDERAL HWY STE 302
HALLANDALE BEACH, FL 33009-4300
Phone number: 855-465-6621
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Mailing Address
DERMATOLOGY BOUTIQUE PA
100 N FEDERAL HWY STE 202
HALLANDALE BEACH, FL 33009-4373
Phone number: 855-465-6621
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