| NPI | 1487093316 |
|---|---|
| Doing Business As | COMPREHENSIVE DERMATOLOGY AND FACIAL PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | YVETTE MEJIA Billing Supervisor 407-339-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME105564) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME105564) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME105564) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: FL ME105587) | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: FL ME105587) | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: FL ME105587) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |