| NPI | 1619287844 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | NEFRITA LOGAN Rep 407-875-2080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2013-10-02 |