COUNTRYSIDE DERMATOLOGY AND LASER CENTER INC

CLEARWATER, FL
NPI1194914978
Entity TypeOrganization
Authorized ContactSUSAN S ROPER
Owner
727-791-1411
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: FL  46341)
Enumeration Date2007-10-17
Last Update Date2007-10-17
Business Address
COUNTRYSIDE DERMATOLOGY AND LASER CENTER INC
2467 ENTERPRISE RD SUITE A
CLEARWATER, FL 33763-1724
Phone number: 727-791-1411
Mailing Address
COUNTRYSIDE DERMATOLOGY AND LASER CENTER INC
2467 ENTERPRISE RD SUITE A
CLEARWATER, FL 33763-1724
Phone number: 727-791-1411
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