NPI | 1942006069 |
---|---|
Doing Business As | SPOTDOC BROWNWOOD |
Entity Type | Organization |
Authorized Contact | TYLER JON LONG Owner/Physician 352-914-3451 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207NS0135X Dermatology, Procedural Dermatology | |
Enumeration Date | 2025-02-20 |
Last Update Date | 2025-07-16 |