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 |