| NPI | 1558450908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON EDDIE VELAZQUEZ President 305-822-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL OS6127) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-03-07 |