NPI | 1275501678 |
---|---|
Doing Business As | SKIN HEALTH FOREVER DERMATOLOGY CENTER |
Entity Type | Organization |
Authorized Contact | THOMAS M TAYLOR Medical Doctor 813-440-2462 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME0064670) |
Enumeration Date | 2006-03-10 |
Last Update Date | 2020-11-03 |