Broward Dermatology

LBN: Broward Dermatology
Broward Dermatology is an health care organization with primary practice located at 500 Se 15Th St Suite #108, Fort Lauderdale FL 33316-1952. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Broward Dermatology can be contacted via phone (954) 990-6591, or through Obed, Jerome via phone (954) 990-6591.

Contact Information

Primary practice address
500 Se 15Th St Suite #108 Fort Lauderdale FL 33316-1952
Phone: (954) 990-6591
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Obed, Jerome Doctor of Osteopathy (DO)
Phone: (954) 990-6591

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X OS9463 Florida

Profile Details

NPI number 1841555786
LBN Legal business name Broward Dermatology
DBA Doing business as
Authorized official Obed, Jerome Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2012
Last updated Jan 29th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841555786 NPPES
Florida Other OS9463 MEDICAL LICENSE

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