NPI | 1497927016 |
---|---|
Doing Business As | PHDERMATOLOGY |
Entity Type | Organization |
Authorized Contact | AMY SIMON ROSS CEO 813-333-1512 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207ZD0900X Pathology, Dermatopathology | |
Enumeration Date | 2008-03-25 |
Last Update Date | 2025-02-28 |