| NPI | 1821896804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEROZA THOMPSON Physician Associate 941-840-1387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-07 |