| NPI | 1205871001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE J SCHMIEDER President 904-541-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS 4926) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL OS 4926) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2023-12-13 |