Bonita Dermatology, P.a.
NPI #1073883617 in Bonita Springs, Florida
Provider Information
- NPI Number
- 1073883617
- Entity Type
- Organization
- Organization Name
- Bonita Dermatology, P.a.
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 12, 2012
- Last Updated
- Feb 16, 2012
Practice Location
- Address
- 9411 FOUNTAIN MEDICAL CT STE 100
- City
- Bonita Springs
- State
- Florida
- ZIP Code
- 34135-4625
- Phone
- (239) 593-1632
Authorized Official
- Name
- DR. SUZY POPE LEE, M.D.
- Title
- EMPLOYEE
- Phone
- (239) 593-1632
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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