| NPI | 1124047048 |
|---|---|
| Doing Business As | VERO BEACH DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | PATRICK THOMAS OTTUSO President 772-299-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME62353) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-10-10 |