Individual
DR. CYNTHIA A DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10080 SW INNOVATION WAY STE 301, PORT ST LUCIE, FL 34987
(772) 318-4945
(772) 380-4360
Mailing address
10080 SW INNOVATION WAY STE 301, PORT ST LUCIE, FL 34987-2129
(772) 318-4945
(772) 380-4360
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME132611
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00505898A
—
GA
Enumeration date
02/15/2006
Last updated
09/06/2018
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