| NPI | 1477862324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JAY HELLER President / Owner 386-239-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS6226) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2011-03-01 |