| NPI | 1992908578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRY MICHAEL PALCESKI President 407-895-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL OS9674) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2021-06-11 |