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NPI Code Detail

MEDICARE: DERMATOLOGY & DERMASURGERY OF NAPLES PA

MEDICARE: DERMATOLOGY & DERMASURGERY OF NAPLES PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistME0076052FL

General Provider Information

NPI Number : 1689697815
Entity Type Code : Organization
Provider Name (Legal Business Name) : DERMATOLOGY & DERMASURGERY OF NAPLES PA
Provider Business Mailing Address
First Line : 1108 GOODLETTE RD N
Second Line :
City : NAPLES
State : FL
Zip : 34102-5451
Country : US
Telephone Number : 239-434-0303
Fax Number : 239-262-8730
Provider Business Practice Location Address
First Line : 1108 GOODLETTE RD N
Second Line :
City : NAPLES
State : FL
Zip : 34102-5451
Country : US
Telephone Number : 239-434-0303
Fax Number : 239-262-8730
Authorized Official
Title or Position : OWNER
Name : DR. JOEL F WALTZER
Credential : M.D.
Telephone Number : 239-434-0303
Provider Enumeration Date : 07/26/2006
Last Update Date : 01/14/2013

Similar Medicare Providers

1851394415 — DAVID SPELLBERG M.D.
Practice Location Address:
1132 GOODLETTE RD N
NAPLES, FL
34102-5451
Practice Phone: 239-434-8565
Practice Fax: 239-434-8569
1366425209 — DR. SUSAN K. MORGAN MD
Practice Location Address:
1100 GOODLETTE RD
NAPLES, FL
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1467416180 — DR. JOEL F WALTZER M.D.
Practice Location Address:
1108 GOODLETTE RD N
NAPLES, FL
34102-5451
Practice Phone: 239-434-0303
Practice Fax: 239-262-8730
1649288358 — FAYE L ARMSTRONG ARNP
Practice Location Address:
1108 GOODLETTE RD N
NAPLES, FL
34102-5451
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Practice Fax: 239-262-8730
1770691974 — FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Practice Location Address:
1100 GOODLETTE ROAD NORTH
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1760594865 — NAPLES UROLOGY ASSOCIATES, P.A.
Practice Location Address:
1132 GOODLETTE RD N
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Practice Phone: 239-434-8565
Practice Fax: 239-434-8569

Directions to “DERMATOLOGY & DERMASURGERY OF NAPLES PA ” Practice Location

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