| NPI | 1114769767 |
|---|---|
| Doing Business As | LUMINARY DERMATOLOGY, PA |
| Entity Type | Organization |
| Authorized Contact | JESSICA PHILLIPS CEO 941-926-6553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |