| NPI | 1992499685 |
|---|---|
| Former Legal Business Name | ISLAND DERMATOLOGY AND WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN VERPAELE Ap RN 321-693-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-07-01 |