Island Coast Dermatology, Pa

NPI 1295886539 - Dermatology - 207N00000X

NPI Details
NPI 1295886539
Enumeration Date 01/15/2007
Last Updated 06/24/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEFFREY N JEFFREY
Position SOLE PROPRIETOR
Phone (239) 768-6100
Fax (239) 561-3763
Practice Location
7310 COLLEGE PKWY
FORT MYERS FL, 33907-5503, US
Phone (239) 768-6100
Fax (239) 561-3763
Business Location
7310 COLLEGE PKWY
FORT MYERS FL, 33907-5503, US
Phone (239) 768-6100
Fax (239) 561-3763
Toxanomy
Taxonomy Code 207N00000X
License State Florida
License Number OS0006359
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According to our database, Island Coast Dermatology, Pa NPI is 1295886539, taxonomy code is 207N00000X and license number is OS0006359, license state is located at Florida. Island Coast Dermatology, Pa physically located at 7310 College Pkwy, Fort Myers FL, 33907-5503. NPI Number 1033115704 has the healthcare provider type.

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1295886539 NPI number is provided on an as is basis without warranty of any kind. 1295886539 is maintained by the National Plan & Provider Enumeration System. The contents of Island Coast Dermatology, Pa are for informational purposes only.