| NPI | 1598025447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA L GRAYMAN Mgrm 407-900-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME98190) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2017-02-14 |