Organization
CLEARLY DERM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA COLTON MD (MEDICAL DIRECTOR)
(561) 299-3907
Entity
Organization
Contact information
Practice address
1760 N CONGRESS AVE, SUITE 200, BOYNTON BEACH, FL 33426-8214
(561) 739-9595
(561) 739-7546
Mailing address
7050 W PALMETTO PARK RD, SUITE 30, BOCA RATON, FL 33433-3426
(561) 353-3376
(561) 404-1170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME42065
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10453
HCC
FL
01
—
HCC9613
STATE LICENSE
FL
01
—
HCC9614
STAE LICENSE
FL
Enumeration date
05/17/2011
Last updated
07/13/2016
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