Organization
FAMILY DERMATOLOGY, PL
Active
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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