KEY WEST DERMATOLOGY INC
Ambulatory Health at Kennedy Dr, Key West, FL

License number
Florida 4528
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. DAREL DEAN PRUETT DO
Title: OWNER
Phone: (305) 664-8828
Address
Address 2
1010 Kennedy Dr SUITE 304, Key West, FL 33040
PO Box 1910, Plantation Key, FL 33036
National Provider ID: 1750396339
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KEY WEST DERMATOLOGY INC at bizstanding.com

Key West Dermatology, Inc

Plantation Key, FL

Registration:
Jul 15, 2005
Addresses:
82883 Overseas Hwy, Plantation Key, FL 33036
PO Box 1910, Plantation Key, FL 33036
State ID:
P05000099514
Business type:
Domestic for Profit Corporation
President:
Darel D. Pruett (President)
Agent:
Mary F. Pruett

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