| NPI | 1912390212 |
|---|---|
| Doing Business As | BRANDON COMPREHENSIVE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | SUSAN MALANE Dermatologist 813-846-7507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: FL OS7746) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |