Organization
DAZZLING DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC W RUDNICK MD (OWNER/DERMATOLOGIST)
(561) 923-0905
Entity
Organization
Contact information
Practice address
22029 STATE ROAD 7 STE 1, BOCA RATON, FL 33428-4200
(561) 923-0905
Mailing address
22029 STATE ROAD 7 STE 1, BOCA RATON, FL 33428-4200
(561) 923-0905
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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