Organization
VENICE DERMATOLOGY CLINIC PA
Active
Organization
VENICE DERMATOLOGY CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE A BOYD MD (OWNER)
(941) 484-2250
Entity
Organization
Contact information
Practice address
716 THE RIALTO, VENICE, FL 34285-3524
(941) 484-2250
(941) 484-9638
Mailing address
716 THE RIALTO, VENICE, FL 34285-3524
(941) 484-2250
(941) 484-9638
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME69164
FL
Other
Enumeration date
08/07/2007
Last updated
10/04/2011
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