| NPI | 1649726316 |
|---|---|
| Doing Business As | GREEN DERMATOLOGY & COSMETIC CENTER |
| Entity Type | Organization |
| Authorized Contact | JASON GREEN Physician/Owner 954-481-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL OS 88871) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |