Organization
DERMATOLOGY OF CENTURY VILLAGE WPB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW QUEEN (MANAGER)
(561) 314-2000
Entity
Organization
Contact information
Practice address
1840 FOREST HILL BLVD STE 102, WEST PALM BEACH, FL 33406-6055
(561) 964-6664
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
01/11/2019
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