| NPI | 1013401710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEO D DAMSE CEO 561-405-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2020-08-27 |