| NPI | 1326229675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD SLAZINSKI President 941-365-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME0030860) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2010-07-13 |