| NPI | 1467539429 |
|---|---|
| Doing Business As | DERMATOLOGIC LASER & SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | NICOLE KARTIKIS DAVIS Billing Manager 954-908-7534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME0023885) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL SU14600) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-06-30 |