| NPI | 1528226081 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY AND COSMETIC SUR |
| Entity Type | Organization |
| Authorized Contact | NEFRITA LOGAN Prov Ser Rep 407-875-2080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2010-04-21 |