Organization
VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC
Active
Organization
VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THI THIEN TRAN (OWNER/PHYSICIAN)
(352) 751-6565
Entity
Organization
Contact information
Practice address
1950 LAUREL MANOR DR, BUILDING 220, SUITE 224, THE VILLAGES, FL 32162
(352) 751-6565
(352) 205-7777
Mailing address
1950 LAUREL MANOR DR, BUILDING 220, SUITE 224, THE VILLAGES, FL 32162-5603
(352) 751-6565
(352) 205-7777
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
OS8364
FL
Other
Enumeration date
10/18/2006
Last updated
10/11/2019
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