NPI | 1063760502 |
---|---|
Doing Business As | BROWARD DERMATOLOGY AND COSMETIC SPECIALISTS |
Entity Type | Organization |
Authorized Contact | JEROME R OBED President 954-990-6591 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207NS0135X Dermatology, Procedural Dermatology | |
Enumeration Date | 2012-08-15 |
Last Update Date | 2014-05-13 |