Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BOCA GRANDE DERMATOLOGY PLLC
Active OrganizationBOCA GRANDE DERMATOLOGY PLLC is a Dermatology organization located in BOCA GRANDE, Florida. NPI 1063836773 is currently active in the NPPES registry. Verify at CMS.
Dermatology · BOCA GRANDE, FL
Registration Details
- NPI Number
- 1063836773
- Provider Type
- Organization
- NPI Issued
- Feb 17, 2014 (12.535360503054 yrs)
- Last Updated
- Dec 9, 2014
- License
-
ME116621 (FL)
Practice Information
- Address
-
320 PARK AVENUEBOCA GRANDE, FL, 33921Browse FL providers · Browse ZIP 33921
- Phone
- 9419640490
- Primary Specialty
-
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.