NPI | 1679712269 |
---|---|
Doing Business As | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
Entity Type | Organization |
Authorized Contact | NEFRITA LOGAN Credentialing Cor 407-875-2080 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
Enumeration Date | 2009-02-05 |
Last Update Date | 2010-04-21 |