ESTERO DERMATOLOGY & SKIN SURGERY CENTER, LLC
Dermatology at Arcos Ave, Estero, FL

License number
Florida OS8594
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: GREGORY M HOUCK D.O.
Title: OWNER
Phone: (239) 390-3376
Address
Address
10201 Arcos Ave SUITE 203, Estero, FL 33928
National Provider ID: 1568481901
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Estero Dermatology & Skin Surgery Center,LLC

Estero, FL

Registration:
Jun 15, 2005
Addresses:
20405 Torre Del Lago St, Estero, FL 33928
10201 Arcos Ave, Estero, FL 33928
State ID:
L05000059590
Business type:
Florida Limited Liability
Managing Member:
Gregory M. Houck (Managing Member)
Agent:
Edward W. Houck

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