| NPI | 1912258989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CAUTHEN President/Managing Member 352-512-0092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME112254) |
| Enumeration Date | 2012-09-30 |
| Last Update Date | 2023-08-28 |