| NPI | 1871599365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY DOBSON Practice Administrator 352-237-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL 40485) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2023-03-07 |