| NPI | 1043668486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MCKAY President / Director 772-283-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME78235) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-28 |