| NPI | 1497927016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY SIMON ROSS CEO 813-333-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ZD0900X Pathology, Dermatopathology | |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2021-07-27 |