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1760504682
BRANDON DERMATOLOGY P A
BRANDON, FL
NPI
1760504682
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Entity Type
Organization
Authorized Contact
ANDRES TOBON
Presidentphysician
813-662-3376
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: FL os7868)
Enumeration Date
2007-04-03
Last Update Date
2008-09-19
Business Address
BRANDON DERMATOLOGY P A
405 W BLOOMINGDALE AVE
BRANDON, FL 33511-7401
Phone number: 813-662-3376
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Mailing Address
BRANDON DERMATOLOGY P A
405 W BLOOMINGDALE AVE
BRANDON, FL 33511-7401
Phone number: 813-662-3376
Copy
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