| NPI | 1386748952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S BADER President Physician 954-421-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME77930) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME77930) |
| 207ND0900X Dermatology, Dermatopathology (Licence: FL ME77930) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME77930) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2014-10-13 |