| NPI | 1952131260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVES JODESTY Medical Director 954-559-4818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-02 |