| NPI | 1750680229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NIVEN President 305-672-7058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME20864) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |