NPI | 1073152088 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY FRANCES POHLER Owner, Authorized Official 727-777-6098 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
Enumeration Date | 2019-12-23 |
Last Update Date | 2019-12-27 |