| NPI | 1013189075 |
|---|---|
| Doing Business As | BOCA VIP DERMATOLOGY & LASER INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | JACK ALAN DANTON Medical Director 561-704-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL OS6841) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS6841) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2008-12-03 |