Organization
INTEGRATED DERMATOLOGY OF TAMARAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERRY CHRISTOPHER (MANAGER)
(561) 314-2000
Entity
Organization
Contact information
Practice address
7301 N UNIVERSITY DR, 102, TAMARAC, FL 33321-2919
(954) 726-2000
Mailing address
902 CLINT MOORE RD, 226, BOCA RATON, FL 33487-2800
(561) 314-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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