| NPI | 1194518977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A DEHESA Medical Director 786-320-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207RR0500X Internal Medicine, Rheumatology | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-05-26 |
| Last Update Date | 2025-07-24 |