| NPI | 1477906857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MITCHELL Billing Director 561-693-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207ND0900X Dermatology, Dermatopathology | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |