CREEKSIDE DERMATOLOGY PA

THE VILLAGES, FL
NPI1740703818
Entity TypeOrganization
Authorized ContactDAVID CASPER
President
352-399-7295
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: FL  108772)
Enumeration Date2017-07-20
Last Update Date2017-07-20
Business Address
CREEKSIDE DERMATOLOGY PA
8630 E COUNTY ROAD 466 STE A
THE VILLAGES, FL 32162-5614
Phone number: 352-399-7295
Mailing Address
CREEKSIDE DERMATOLOGY PA
8620 E COUNTY ROAD 466
THE VILLAGES, FL 32162-3670
Phone number: 352-399-7295
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