| NPI | 1275522054 |
|---|---|
| Doing Business As | NEW IMAGE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | THEODORE FOTOPOULOS President 727-847-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2014-01-30 |