NPI | 1477724961 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN BERNADETTE HERNE Physician/Owner 561-371-0251 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME83379) |
207NS0135X Dermatology, Procedural Dermatology | |
Enumeration Date | 2008-03-12 |
Last Update Date | 2012-09-20 |