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Coast Dermatology And Skin Cancer Center Pa
Specialist in Venice, Florida
NPI 1770608937

Coast Dermatology And Skin Cancer Center Pa is a Specialist based in Venice, FL. Coast Dermatology And Skin Cancer Center Pa practices in Venice, FL. The NPI Number for Coast Dermatology And Skin Cancer Center Pa is 1770608937 and holds a License No. OS0006785 (Florida).

The current practice location address for Coast Dermatology And Skin Cancer Center Pa is 21550 Angela Ln, Venice, FL and can be reached out via phone at 941-493-7400 and via fax at 941-493-1940.

Location: 21550 Angela Ln, Venice, FL, 34293-2017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770608937
Provider Name
Coast Dermatology And Skin Cancer Center Pa
Credential
Provider Entity Type
Organization
Address
21550 Angela Ln, Venice, FL, 34293-2017
Phone Number
941-493-7400
Fax Number
941-493-1940
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
99100 01 FL BLUE SHIELD GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
21550 Angela Ln
City
Venice
State
Florida
Zip
34293-2017
Phone Number
941-493-7400
Fax Number
941-493-1940
person
Provider Business Mailing Address Details
Address
21550 Angela Ln
City
Venice
State
Florida
Zip
34293-2017
Phone Number
941-493-7400
Fax Number
941-493-1940
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OS0006785 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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