| NPI | 1225101231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L ALLYN Medical Director 352-243-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME70658) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2025-01-14 |