Boca Grande Dermatology PLLC
Boca Grande Dermatology PLLC provides Dermatology Physician services in Boca Grande, Florida. Licensed in Florida. Registered with an NPI since 2014.
- Licensed in
- FL
- In the registry since
- 2014
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
320 Park AveBoca Grande, FL 33921 Not confirmed with CMS for 11 years — call before visiting
Phone: (941) 964-0490
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence ME116621 (FL) |
|---|
Record details
| NPI number | 1063836773 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Timothy Corey — Manager · (941) 855-9372 |
| NPI enumerated | February 17, 2014 |
| Last updated in NPPES | December 9, 2014 |
| Mailing address | Po Box 1883, 415 Rock Dove Dr, Boca Grande, FL 33921-1883 |