| NPI | 1376714162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BREWSTER CALDWELL President 850-219-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS7111) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: Master ID 8538) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |