| NPI | 1619232501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHN CASPER CEO And Physician 407-883-9946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME 108772) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2022-07-21 |