| NPI | 1265856256 |
|---|---|
| Doing Business As | MARTIN DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | SANDY MARTIN Chief Executive Manager 239-208-4408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME30746) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-08-04 |