| NPI | 1396843942 |
|---|---|
| Doing Business As | MARION DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | BRYAN CRAIG HICKS President 352-368-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL me47583) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL me47583) |
| 207ND0900X Dermatology, Dermatopathology (Licence: FL me47583) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: FL me47583) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: FL me47583) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-04-15 |