| NPI | 1336128164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA VALLADARES Director Of Credentialing & Pe 561-514-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: OH CLIA 36D0656050) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2017-09-21 |