| NPI | 1710900600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA KAY KRANENDONK Physician 561-820-0155 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology (Licence: FL ME84713) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-12-10 |