Acute Dermatology Clinic Pa
Clinic/Center in Fort Myers, FL(View on Map)
Legal Business Name
Acute Dermatology Clinic Pa
NPI Number
1427221605
NPI Type
Organization
Enumeration Date
04/08/2008
Specialties
(Taxonomies)Licenses
State
Florida
License Number
OS9425
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 101295
9400 GLADIOLUS DR
City
Cape Coral
Fort Myers
State
FL
FL
Postal Code
33910-1295
33908-6699
Country
US
US
Telephone Number
(239) 482-7546
(239) 482-7546
Authorized Official
Name
Dr. Chau Vu
Title or Position
OWNER
Telephone Number
(239) 482-7546
Identifiers
Identifier
AJ932
274238100
Identifier State
FL
FL
Identifier Issuer
MEDICARE PTAN
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/27/2008
Provider Address
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