NPI | 1366672610 |
---|---|
Doing Business As | ADVANCED DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | NEFRITA LOGAN Provider Service Rep 407-875-2080 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
Enumeration Date | 2009-07-21 |
Last Update Date | 2009-07-21 |