| NPI | 1265713903 |
|---|---|
| Doing Business As | 360 DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | APARNA AMBAY President/Owner 813-406-4835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2021-12-27 |