Coast Dermatology and Skin Cancer Center PA

NPI #1770608937 in Venice, Florida

Provider Information

NPI Number
1770608937
Entity Type
Organization
Organization Name
Coast Dermatology and Skin Cancer Center PA
Primary Specialty
Specialist
Enumeration Date
Mar 20, 2007
Last Updated
May 22, 2009

Practice Location

Address
21550 ANGELA LN
City
Venice
State
Florida
ZIP Code
34293-2017
Phone
(941) 493-7400

Authorized Official

Name
JOHN GREGORY NEILY, D.O.
Title
PHYSCIAN
Phone
(941) 493-7400

Specialties & Taxonomy Codes

Specialty
Specialist

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