TRUDERM PA NPI 1336407527

NPI Information

TRUDERM PA is a pediatric dermatology dermatology in Wellington, FL. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. TRUDERM PA NPI is 1336407527. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3319 STATE ROAD 7
SUITE 202
WELLINGTON, FL
ZIP 33449-092
Phone: (561) 207-8080
Fax: (561) 207-8082

The provider's authorized official is Debra Vanderhoff .
The authorized official title is Practice Manager and has the following contact phone number (561) 932-5259.

The CLIA number assigned to this NPI record is 10D2164772 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2012 and was last updated on 7/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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