| NPI | 1295886539 |
|---|---|
| Doing Business As | ISLAND COAST DERMATOLOGY, PA |
| Entity Type | Organization |
| Authorized Contact | JEFFREY N MARTIN Sole Proprietor 239-768-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS0006359) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2008-06-24 |