| NPI | 1154907608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FRANCIS Manager 941-867-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2022-03-12 |