| NPI | 1013098755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THI THIEN TRAN Owner/Physician 352-751-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL OS8364) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-10-11 |