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Individual

DR. JOHN PAUL MINNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2601 S KANNER HWY, STUART, FL 34994-4622
(772) 219-2777
(772) 219-0017
Mailing address
1400 SE GOLDTREE DRIVE, SUITE A-7, PORT ST. LUCIE, FL 34952
(772) 335-3550
(772) 237-8013

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS8747
FL
207Q00000X
Family Medicine Physician
OS8747
FL

Other

Enumeration date
10/23/2006
Last updated
01/05/2021
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