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1730254400
DERMATOLOGY OF CENTURY VILLAGE WPB LLC
WEST PALM BEACH, FL
NPI
1730254400
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Entity Type
Organization
Authorized Contact
ANDREW QUEEN
Manager
561-314-2000
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-11-21
Last Update Date
2019-01-11
Business Address
DERMATOLOGY OF CENTURY VILLAGE WPB LLC
1840 FOREST HILL BLVD STE 102
WEST PALM BEACH, FL 33406-6055
Phone number: 561-964-6664
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Mailing Address
DERMATOLOGY OF CENTURY VILLAGE WPB LLC
4700 EXCHANGE CT STE 110
BOCA RATON, FL 33431-4450
Phone number: 561-314-2000
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