| NPI | 1730173709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAIS AURORA BADIA Owner President 239-561-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL 05007304) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2013-10-23 |