SKIN WELLNESS PHYSICIANS, LLC
Dermatology at Collier Blvd, Naples, FL

License number
Florida ME107188
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. DANIEL I WASSERMAN MD
Title: OWNER
Phone: (267) 210-2034
Address
Address
8625 Collier Blvd, Naples, FL 34114
National Provider ID: 1275952244
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SKIN WELLNESS PHYSICIANS, LLC

Naples, FL  -  Fort Lauderdale, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Skin Wellness Physicians
Inactive reason:
LC AMENDMENT
Registration:
Jan 9, 2014
Inactive since:
Mar 24, 2015
Phone:
(239) 732-0044 (Phone)
Addresses:
8625 Collier Blvd, Naples, FL 34114 (Physical)
1235 N Rio Vis Blvd, Fort Lauderdale, FL 33301
State ID:
L14000004979
Business type:
Florida Limited Liability Company
Managers:
Daniel I Wasserman (Manager), 8625 Collier Blvd, Naples, FL 34114 (Physical),Tiffany Kloch,David A. Rubin Manager, inactive
Agent:
Daniel Wasserman,8625 Collier Blvd, Naples, FL 34114 (Physical)
EIN:
46-4477281

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