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Organization

BLISS DERMATOLOGY, LLC

Active
Other names
Bliss Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE PENNIE MD (OWNER)
(941) 477-4007
Entity
Organization

Contact information

Practice address
315 NOKOMIS AVE S, VENICE, FL 34285-2417
(941) 477-4007
(877) 239-7174
Mailing address
315 NOKOMIS AVE S, VENICE, FL 34285-2417
(941) 477-4007
(877) 239-7174

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary

Other

Enumeration date
04/20/2023
Last updated
09/02/2025
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