| NPI | 1194914390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G YRASTORZA President 863-686-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME66580) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2009-07-01 |