| NPI | 1790489524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB ARIEL MARDER President 561-584-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-03-23 |