On Site Dermatology Llc

NPI 1215978713 - Dermatology - 207N00000X

NPI Details
NPI 1215978713
Enumeration Date 06/08/2006
Last Updated 03/09/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEFFREY JEFFREY
Position PRESIDENT
Phone (561) 241-6676
Fax (561) 989-3665
Practice Location
902 CLINT MOORE RD
SUITE 227
BOCA RATON FL, 33487-2800, US
Phone (561) 241-6676
Fax (561) 989-3665
Business Location
902 CLINT MOORE RD
SUITE 227
BOCA RATON FL, 33487-2800, US
Phone (561) 241-6676
Fax (561) 989-3665
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, On Site Dermatology Llc NPI is 1215978713, taxonomy code is 207N00000X On Site Dermatology Llc physically located at 902 Clint Moore Rd, Boca Raton FL, 33487-2800. NPI Number 1033115704 has the healthcare provider type.

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1215978713 NPI number is provided on an as is basis without warranty of any kind. 1215978713 is maintained by the National Plan & Provider Enumeration System. The contents of On Site Dermatology Llc are for informational purposes only.