| NPI | 1336407527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA VANDERHOFF Practice Manager 561-932-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-07-30 |