| NPI | 1013239219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHURUN ZHAO President 813-598-2893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME99158) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME99158) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2011-09-02 |