Organization
DERMPATH LAB LLC
Active
Other names
DermPath Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSEL SELWYN GLAUN M.D. (MANAGER)
(561) 706-4843
Entity
Organization
Contact information
Practice address
1599 NW 9TH AVE, SUITE 4, BOCA RATON, FL 33486-1310
(561) 393-8578
(561) 393-8574
Mailing address
1599 NW 9TH AVE, SUITE 4, BOCA RATON, FL 33486-1310
(561) 393-8578
(561) 393-8574
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
FL
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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