| NPI | 1891896114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RION JAMES FORCONI President 407-330-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME54135) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-06-11 |