| NPI | 1003003195 |
|---|---|
| Former Legal Business Name | FT. LAUDERDALE DERMATOLOGY AND COSMETIC CENTER |
| Entity Type | Organization |
| Authorized Contact | IGOR CHAPLIK Owner 954-772-0416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |