Bonita Dermatology, P.a.

NPI 1073883617 - Specialist - 174400000X

NPI Details
NPI 1073883617
Enumeration Date 01/12/2012
Last Updated 02/16/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SUZY POPE SUZY
Position EMPLOYEE
Phone (239) 593-1632
Fax
Practice Location
9411 FOUNTAIN MEDICAL CT STE 100
BONITA SPRINGS FL, 34135-4625, US
Phone (239) 593-1632
Fax
Business Location
9411 FOUNTAIN MEDICAL CT STE 100
BONITA SPRINGS FL, 34135-4625, US
Phone (239) 593-1632
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Bonita Dermatology, P.a. NPI is 1073883617, taxonomy code is 174400000X Bonita Dermatology, P.a. physically located at 9411 Fountain Medical Ct Ste 100, Bonita Springs FL, 34135-4625. NPI Number 1033115704 has the healthcare provider type.

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1073883617 NPI number is provided on an as is basis without warranty of any kind. 1073883617 is maintained by the National Plan & Provider Enumeration System. The contents of Bonita Dermatology, P.a. are for informational purposes only.