| NPI | 1285735373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA K BEDI Owner 941-927-5178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME79670) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2021-02-19 |