| NPI | 1740737576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUVEN PORGES CEO 305-623-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 207ND0900X Dermatology Dermatopathology | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2024-06-26 |