| NPI | 1033315858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED T CREECH President 239-458-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME72519) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2012-11-26 |