Organization
NAPLES CENTER FOR DERMATOLOGY & RIVERCHASE DERMATOLOGY
Active
Other names
Riverchase Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L TOTH (CREDENTIALING MGR)
(239) 232-1180
Entity
Organization
Contact information
Practice address
413 DEL PRADO BLVD S STE 101, CAPE CORAL, FL 33990
(239) 443-1500
(239) 443-1510
Mailing address
15051 S TAMIAMI TRL STE 203, FORT MYERS, FL 33908-5182
(239) 437-8810
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Enumeration date
07/11/2018
Last updated
09/19/2018
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