institution
Broward Dermatology
Medical Specialty Clinic/Center in Fort Lauderdale, Florida
NPI 1841555786

Broward Dermatology is a Medical Specialty Clinic/Center based in Fort Lauderdale, FL and is specialized in Medical Specialty. Broward Dermatology practices in Fort Lauderdale, FL. The NPI Number for Broward Dermatology is 1841555786 and holds a License No. OS9463 (Florida).

The current practice location address for Broward Dermatology is 500 Se 15Th St, Fort Lauderdale, FL and can be reached out via phone at 954-990-6591. You can also correspond with Broward Dermatology through the mailing address at 500 SE 15TH ST, FORT LAUDERDALE, FL - 33316-1952 (mailing address contact number: 954-990-6591).

Location: 500 Se 15Th St, Fort Lauderdale, FL, 33316-1952
institution
Provider Profile Details
NPI Number
1841555786
Provider Name
Broward Dermatology
Credential
Provider Entity Type
Organization
Address
500 Se 15Th St, Fort Lauderdale, FL, 33316-1952
Phone Number
954-990-6591
Fax Number
Provider Enumeration Date
07/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OS9463 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
500 Se 15Th St
City
State
Zip
33316-1952
Phone Number
954-990-6591
Fax Number
person
Provider Business Mailing Address Details
Address
500 Se 15Th St
City
State
Zip
33316-1952
Phone Number
954-990-6591
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
OS9463 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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