| NPI | 1467685727 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | NEFRITA LOGAN Provider Service Rep 407-875-2080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |