Dmsp LLC

NPI #1376101923 in Indian Harbour Beach, Florida

Provider Information

NPI Number
1376101923
Entity Type
Organization
Organization Name
Dmsp LLC
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
May 30, 2019
Last Updated
May 30, 2019

Practice Location

Address
2020 HIGHWAY A1A STE 101
State
Florida
ZIP Code
32937-3581
Phone
(321) 777-4774

Authorized Official

Name
EUGENE WIGGINS
Title
CREDENTIALING MANAGER
Phone
(904) 955-0562

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PodiatricPodiatric

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