Integrated Dermatology of Boca LLC

NPI #1609990035 in Boca Raton, Florida

Provider Information

NPI Number: 1609990035
Entity Type: Organization
Organization Name: Integrated Dermatology of Boca LLC
Primary Specialty: Dermatology
Enumeration Date: Mar 19, 2007
Last Updated: Aug 28, 2007

Practice Location

Address: 30 SE 6TH ST
City: Boca Raton
State: Florida
ZIP Code: 33432-6016
Phone: (561) 395-6705

Authorized Official

Name: JEFFREY QUEEN
Title: PRESIDENT
Phone: (561) 241-6676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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