| NPI | 1720157696 |
|---|---|
| Doing Business As | MELBOURNE DERMATOLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN H HORNELL President 321-724-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME0024691) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME85500) |
| 207N00000X Dermatology (Licence: FL ME89667) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |