Lauderdale Dermatology Pa in Ft Lauderdale - Dermatology
Lauderdale Dermatology Pa - NPI 1750474615
Lauderdale Dermatology Pa is a Dermatology in Ft Lauderdale, Florida. Lauderdale Dermatology Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Lauderdale Dermatology Pa is 1750474615. The last update date is 2020-08-22.
Lauderdale Dermatology Pa's current location address is 4610 North Federal Highway, Ft Lauderdale, Florida. You can contact this provider via phone number 9547710582 and fax number 9547716465. The mailing address for Lauderdale Dermatology Pa is 4610 North Federal Highway, Ft Lauderdale, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lauderdale Dermatology Pa |
|---|---|
| Address | 4610 North Federal Highway, Ft Lauderdale, Florida |
| Phone Number | 9547710582 |
| Fax Number | 9547716465 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Perez L Gregory |
| Credentials | MD |
| Telephone Number | 9547710582 |
NPI Number Detail
| NPI Number | 1750474615 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4610 North Federal Highway |
|---|---|
| City | Ft Lauderdale |
| State | Florida (FL) |
| Post Code | 33308 |
| Phone Number | 9547710582 |
| Fax Number | 9547716465 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | ME0068188 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique provider identifier assigned to Lauderdale Dermatology Pa?
The Lauderdale Dermatology Pa has been issued the NPI (National Provider Identifier) 1750474615 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lauderdale Dermatology Pa?
The Lauderdale Dermatology Pa is physically situated at 4610 North Federal Highway, in the city of Ft Lauderdale, state of FL, with the postal code 33308.
What is Lauderdale Dermatology Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lauderdale Dermatology Pa is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did the Lauderdale Dermatology Pa receive its 1750474615 assignment from the Centers for Medicare & Medicaid Services?
The Lauderdale Dermatology Pa was assigned its 1750474615 by the Centers for Medicare & Medicaid Services on 2006-10-02.
When was the information regarding Lauderdale Dermatology Pa most recently updated?
The details pertaining to the Lauderdale Dermatology Pa, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.