| NPI | 1164875936 |
|---|---|
| Doing Business As | SKIN CANCER CENTER OF BONITA SPRINGS |
| Entity Type | Organization |
| Authorized Contact | DAVID FREITAG Medical Director 301-661-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9361941) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |