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Individual

ANNYELLA MARI DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3 SW 129TH AVE STE 100, PEMBROKE PINES, FL 33027-1778
(866) 400-3376
(954) 217-3222
Mailing address
3 SW 129TH AVE STE 100, PEMBROKE PINES, FL 33027-1778
(866) 400-3376
(954) 217-3222

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME163979
FL

Other

Enumeration date
03/26/2019
Last updated
08/31/2023
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