# NAPLES CENTER FOR DERMATOLOGY & RIVERCHASE DERMATOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Riverchase Dermatology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538645775
- **Authorized official:** JENNIFER L TOTH (CREDENTIALING MGR)
- **Authorized official phone:** (239) 232-1180

## Contact information

- **Practice address:** 413 DEL PRADO BLVD S STE 101, CAPE CORAL, FL 33990
- **Practice address phone:** (239) 443-1500
- **Practice address fax:** (239) 443-1510
- **Mailing address:** 15051 S TAMIAMI TRL STE 203, FORT MYERS, FL 33908-5182
- **Mailing address phone:** (239) 437-8810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | Yes |

## Other

- **Enumeration date:** 07/11/2018
- **Last updated:** 09/19/2018