| NPI | 1841267895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY SCANNON Physician/Owner 813-877-4811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME0029315) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2010-07-14 |