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Organization
ELITE DERMATOLOGY AND AESTHETIC INSTITUTE, LLC
Active
Organization
ELITE DERMATOLOGY AND AESTHETIC INSTITUTE, LLC
Active
Other names
ELITE MEDICINE AND AESTHETIC INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
FAWN WINKELMAN DO (PRESIDENT)
(561) 826-6650
Entity
Organization
Contact information
Practice address
1905 CLINT MOORE RD, SUITE 203, BOCA RATON, FL 33496-2658
(561) 826-6650
(561) 826-6649
Mailing address
1905 CLINT MOORE RD, SUITE 203, BOCA RATON, FL 33496-2658
(561) 826-6650
(561) 826-6649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS1629
FL
Other
Enumeration date
06/20/2014
Last updated
11/19/2015
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