| NPI | 1295278943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA SALUJA Manager 321-917-3067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL M82777) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME118444) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2020-06-02 |