| NPI | 1851532683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALIND A FREAS Physician 321-773-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-06-02 |