| NPI | 1245523414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FITZGERALDO A SANCHEZ President 813-830-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME102887) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME102887) |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: FL ME102887) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME102887) | |
| 207ZD0900X Pathology, Dermatopathology (Licence: FL ME102887) | |
| 291U00000X Clinical Medical Laboratory (Licence: FL ME102887) | |
| Enumeration Date | 2011-05-22 |
| Last Update Date | 2011-09-15 |