NPI 1003007840

Venice Dermatology Clinic PA

Organisation Dermatology Physician Venice, FL

Practice location

Address: 716 the Rialto, Venice, FL 34285-3524
Phone: (941) 484-2250
Fax: (941) 484-9638

Authorised official

Name: Bruce a Boyd
Title: Owner
Phone: (941) 484-2250

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence ME69164 (FL)

Other Dermatology providers in Florida →

Registry record

NPI: 1003007840
Entity type: Organization
NPI issued: 7 Aug 2007
Record last updated: 4 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.