| NPI | 1083961312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS F VILLAR President 772-286-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME0039125) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME0039125) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME0039125) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: FL ME0039125) | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |