| NPI | 1568686707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO D FERNANDEZ Owner 941-906-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-10-04 |