Village Dermatology & Cosmetic Surgery, Llc

NPI 1013098755 - Dermatology - 207NS0135X

NPI Details
NPI 1013098755
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name THI THIEN THI
Position MEDICAL DIRECTOR
Phone (352) 751-6565
Fax (352) 205-7777
Practice Location
1950 LAUREL MANOR DR
BUILDING 220, SUITE 224
THE VILLAGES FL, 32162-5603, US
Phone (352) 751-6565
Fax (352) 205-7777
Business Location
1950 LAUREL MANOR DR
BUILDING 220, SUITE 224
THE VILLAGES FL, 32162-5603, US
Phone (352) 751-6565
Fax (352) 205-7777
Toxanomy
Taxonomy Code 207NS0135X
License State Florida
License Number OS8364
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According to our database, Village Dermatology & Cosmetic Surgery, Llc NPI is 1013098755, taxonomy code is 207NS0135X and license number is OS8364, license state is located at Florida. Village Dermatology & Cosmetic Surgery, Llc physically located at 1950 Laurel Manor Dr, The Villages FL, 32162-5603. NPI Number 1033115704 has the healthcare provider type.

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1013098755 NPI number is provided on an as is basis without warranty of any kind. 1013098755 is maintained by the National Plan & Provider Enumeration System. The contents of Village Dermatology & Cosmetic Surgery, Llc are for informational purposes only.