| NPI | 1366431769 |
|---|---|
| Former Legal Business Name | GOYAL DERMATOLOGY INC |
| Entity Type | Organization |
| Authorized Contact | SANJIVA GOYAL President 904-567-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2015-05-08 |