| NPI | 1093983884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN GEORGE FABIAN President 239-949-0742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME75652) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |