| NPI | 1861813719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRICK SPENCE President 407-999-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME379241) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL OS8467) |
| 207ND0900X Dermatology, Dermatopathology (Licence: FL ME73625) | |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |