| NPI | 1336752120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC W RUDNICK Owner/Dermatologist 561-923-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |