| NPI | 1114238193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C ADAMS Owner, President 850-654-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME92098) |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2011-04-21 |