| NPI | 1477655140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE ANN CLAYTON Physician/Owner 813-752-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME49412) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2010-11-04 |