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Organization · MOHS-Micrographic Surgery Physician · Vero Beach, FL

NPI

1427414168

Type

Organization (Type 2)

Primary specialty

MOHS-Micrographic Surgery Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207ND0101X

License number

ME101443 (FL)

Enumerated

2016-01-11

Last updated

2016-03-16