| NPI | 1265205488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BARBER President 352-259-6553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-11-09 |