| NPI | 1205353687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY NEAL MARTIN President / Physician 239-415-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS6359) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |