| NPI | 1013280635 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | NEFRITA LOGAN Provider Services Rep 407-875-2080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME35575) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |