| 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 |