COAST DERMATOLOGY AND SKIN CANCER CENTER PA
Medical Practice at Angela Ln, Venice, FL

License number
Florida OS0006785
Category
Medical Practice
Type
Specialist
Owner
Name: JOHN GREGORY NEILY D.O.
Title: PHYSCIAN
Phone: (941) 493-7400
Address
Address
21550 Angela Ln, Venice, FL 34293
National Provider ID: 1770608937
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Coast Dermatology and Skin Cancer Center, PA

Venice, FL

Industry:
Medical Doctor's Office
Registration:
Apr 25, 2002
Addresses:
4130 Woodmere Park Blvd, Venice, FL 34293
21550 Angela Ln, Venice, FL 34293
State ID:
P02000045414
Business type:
Domestic for Profit Corporation
Director:
John Gregory Neily (Director)
Agent:
Elizabeth E. Neily

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