| NPI | 1437517802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY BERLIN Manager 561-739-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ZD0900X Pathology, Dermatopathology | |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2018-12-17 |