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 |