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Organization

FAMILY DERMATOLOGY, PL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLA GRUMAN M.D. (OWNER)
(941) 918-1900
Entity
Organization

Contact information

Practice address
929 S TAMIAMI TRL, SUITE 201, OSPREY, FL 34229-9239
(941) 918-1900
Mailing address
929 S TAMIAMI TRL, SUITE 201, OSPREY, FL 34229-9241
(941) 918-1900

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
10/10/2009
Last updated
05/12/2020
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