| NPI | 1750404844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON CHARLIE CEO Owner 954-467-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME 85619) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2008-04-01 |