NPI | 1225101231 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID L ALLYN Owner/Physician 352-267-0146 |
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 | 2024-12-23 |