| NPI | 1487082079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA KENDALL Owner 305-984-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-22 |