Organization
LEGENDS DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IULIA FUNIERU MD (SOLE OWNER)
(863) 738-5487
Entity
Organization
Contact information
Practice address
1497 LEGENDS BOULEVARD, DAVENPORT, FL 33896
(863) 738-5487
Mailing address
1497 LEGENDS BOULEVARD, DAVENPORT, FL 33896
(863) 738-5487
(863) 619-7094
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/04/2014
Last updated
09/26/2019
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