| NPI | 1669293122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSA R HERMAN Owner / President 305-444-4979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2025-08-20 |