| NPI | 1871900233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNINE STEIN Owner 321-428-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME88079) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2023-08-25 |