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Organization

PREMIER DERMATOLOGY, MD, LLC

Active
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Organization

PREMIER DERMATOLOGY, MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA BILU MARTIN MD (OWNER/PHYSICIAN)
(305) 521-8971
Entity
Organization

Contact information

Practice address
21097 NE 27TH CT, SUITE 500, AVENTURA, FL 33180-1204
(305) 521-8971
(305) 937-1733
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7176
(407) 875-2080
(407) 650-3455

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
02/24/2015
Last updated
02/24/2015
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