| NPI | 1295903276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NG President 904-247-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL me63182) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL me63182) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |