| NPI | 1578701785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA H HALCIN Md/Owner 321-394-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME73166) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME73166) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-04-17 |