NPI | 1720173032 |
---|---|
Doing Business As | GULF COAST DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | JOHN ROBERT HAMILL President 727-862-8561 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME0040078) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2012-05-23 |