| NPI | 1407981400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LIN Owner President 407-839-3834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME90422) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |