| NPI | 1225680317 |
|---|---|
| Doing Business As | SWFL DERMATOLOGY, MOHS SURGERY & LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSEPH ONORATO President 516-488-1313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2024-05-23 |