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1184969891
NATIONAL DERMATOLOGY HEALTHCARE OF CONNECTICUT, LLC
TAMPA, FL
NPI
1184969891
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Entity Type
Organization
Authorized Contact
JOSH MAYWALT
Billing Supervisor
813-880-7546
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2012-12-06
Last Update Date
2012-12-06
Business Address
NATIONAL DERMATOLOGY HEALTHCARE OF CONNECTICUT, LLC
8002 GUNN HWY
TAMPA, FL 33626-1603
Phone number: 813-880-7546
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Mailing Address
NATIONAL DERMATOLOGY HEALTHCARE OF CONNECTICUT, LLC
8002 GUNN HWY
TAMPA, FL 33626-1603
Phone number:
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