| NPI | 1730404146 |
|---|---|
| Doing Business As | ADVACNED DERMATOLOGY AND COSMETIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | AMY DECLUE Director, Provider Services 407-875-2080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2014-12-04 |