Organization
TRUDERM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA VANDERHOFF (PRACTICE MANAGER)
(561) 932-5259
Entity
Organization
Contact information
Practice address
3319 STATE ROAD 7, SUITE 202, WELLINGTON, FL 33449-8092
(561) 207-8080
(561) 207-8082
Mailing address
3319 STATE ROAD 7, SUITE 202, WELLINGTON, FL 33449-8092
(561) 207-8080
(561) 207-8082
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NP0225X
Pediatric Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
04/25/2012
Last updated
07/30/2012
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