| NPI | 1639856297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERFON EKHLASSI Owner And Physician 941-748-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2025-03-05 |