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1659743094
INDIGO DERMATOLOGY LLC
MELBOURNE, FL
NPI
1659743094
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Entity Type
Organization
Authorized Contact
SUMEET THAREJA
Owner
321-951-1010
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL ME123157)
Enumeration Date
2015-10-26
Last Update Date
2019-07-04
Business Address
INDIGO DERMATOLOGY LLC
675 S BABCOCK ST
MELBOURNE, FL 32901-1459
Phone number: 321-951-1010
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Mailing Address
INDIGO DERMATOLOGY LLC
675 S BABCOCK ST
MELBOURNE, FL 32901-1459
Phone number: 321-951-1010
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