Venice Dermatology Clinic PA

NPI #1003007840 in Venice, Florida

Provider Information

NPI Number: 1003007840
Entity Type: Organization
Organization Name: Venice Dermatology Clinic PA
Primary Specialty: Dermatology
Enumeration Date: Aug 7, 2007
Last Updated: Oct 4, 2011

Practice Location

Address: 716 THE RIALTO
City: Venice
State: Florida
ZIP Code: 34285-3524
Phone: (941) 484-2250

Authorized Official

Name: DR. BRUCE A BOYD, MD
Title: OWNER
Phone: (941) 484-2250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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