NPI | 1487812947 |
---|---|
Doing Business As | ADVANCED DERMATOLOGY AND COSMETIC SUR |
Entity Type | Organization |
Authorized Contact | AMY DECLUE Director, Provider Services 407-875-2080 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207Q00000X Family Medicine | |
208200000X Plastic Surgery | |
Enumeration Date | 2008-05-30 |
Last Update Date | 2014-12-04 |