| NPI | 1982920757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L MEISENHEIMER Owner 407-352-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME0049727) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |