| NPI | 1780964460 |
|---|---|
| Doing Business As | GALT DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MIGUEL VILLACORTA President 954-463-5406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME36538) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2021-01-26 |