| NPI | 1083188221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER U REX President 904-994-4533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2023-05-16 |