Boca Grande Dermatology Pllc
NPI #1063836773 in Boca Grande, Florida
Provider Information
- NPI Number
- 1063836773
- Entity Type
- Organization
- Organization Name
- Boca Grande Dermatology Pllc
- Primary Specialty
- Dermatology
- Enumeration Date
- Feb 17, 2014
- Last Updated
- Dec 9, 2014
Practice Location
- Address
- 320 PARK AVENUE
- City
- Boca Grande
- State
- Florida
- ZIP Code
- 33921
- Phone
- (941) 964-0490
Authorized Official
- Name
- DR. TIMOTHY J COREY, M. D.
- Title
- MANAGER
- Phone
- (941) 855-9372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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