| NPI | 1528176146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE R HAYNES President Dermatologist 727-545-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME48813) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-01-10 |