| NPI | 1437325875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BLANCHARD STOER Physician 352-377-8619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 363L00000X Nurse Practitioner (Licence: FL ARNP1942732) | |
| 363A00000X Physician Assistant (Licence: FL PA9103783) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2015-03-24 |