Organization
BONITA DERMATOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZY POPE LEE M.D. (EMPLOYEE)
(239) 593-1632
Entity
Organization
Contact information
Practice address
9411 FOUNTAIN MEDICAL CT STE 100, BONITA SPRINGS, FL 34135-4625
(239) 593-1632
Mailing address
9411 FOUNTAIN MEDICAL CT STE 100, BONITA SPRINGS, FL 34135-4625
(239) 593-1632
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
02/16/2012
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