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1114362936
NATIONAL DERMATOLOGY HEALTHCARE OF LOUISIANA LLC
TAMPA, FL
NPI
1114362936
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Entity Type
Organization
Authorized Contact
JOSH MAYWALT
Billing Manager
813-880-7546
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2013-05-07
Last Update Date
2013-05-07
Business Address
NATIONAL DERMATOLOGY HEALTHCARE OF LOUISIANA LLC
8002 GUNN HWY
TAMPA, FL 33626-1603
Phone number: 813-880-7546
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Mailing Address
NATIONAL DERMATOLOGY HEALTHCARE OF LOUISIANA LLC
8002 GUNN HWY
TAMPA, FL 33626-1603
Phone number: 813-880-7546
Copy
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