| NPI | 1467158964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MATTHEW BERLIN Owner 561-739-5252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 207ZD0900X Pathology Dermatopathology | |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |