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1376101923
DMSP LLC
INDIAN HARBOUR BEACH, FL
NPI
1376101923
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Entity Type
Organization
Authorized Contact
EUGENE WIGGINS
Credentialing Manager
904-955-0562
Organization Subpart ?
No
Primary Taxonomy
261QP1100X Clinic/Center, Podiatric
Enumeration Date
2019-05-30
Last Update Date
2019-05-30
Business Address
DMSP LLC
2020 HIGHWAY A1A STE 101
INDIAN HARBOUR BEACH, FL 32937-3581
Phone number: 321-777-4774
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Mailing Address
DMSP LLC
1678 MAEVE CIR
MELBOURNE, FL 32904-7348
Phone number:
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