| NPI | 1912434242 |
|---|---|
| Doing Business As | DERMATOLOGY AND LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES S TRIMBLE President 904-276-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-07-21 |