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 Clinic/Center (Licence: FL OS7746) |
Enumeration Date | 2015-03-10 |
Last Update Date | 2015-03-10 |