| NPI | 1508976010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL JEANNE SIMS-ROBERTSON Owner Practitioner 727-528-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME87149) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-10-16 |