Organization
AMERICAN MOBILE DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JUDE DEVOURSNEY M.D. (OWNER)
(561) 738-4770
Entity
Organization
Contact information
Practice address
1054 GATEWAY BLVD, SUITE 110, BOYNTON BEACH, FL 33426-8309
(561) 738-4770
(561) 738-9727
Mailing address
1054 GATEWAY BLVD, SUITE 110, BOYNTON BEACH, FL 33426-8309
(561) 738-4770
(561) 738-9727
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME80429
FL
Other
Enumeration date
02/28/2007
Last updated
03/18/2013
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