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AVENTURA DERMATOLOGY & COSMETIC CENTER P.A. NPI 1003003195


NPI Profile

NPI: 1003003195
Provider Name: AVENTURA DERMATOLOGY & COSMETIC CENTER, P.A.

Former Legal Business Name: FT. LAUDERDALE DERMATOLOGY AND COSMETIC CENTER

Classification:Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
5721 NE 27TH AVE
FORT LAUDERDALE, FL
ZIP 33308
Get Directions

Phone: (954) 772-0416

AVENTURA DERMATOLOGY & COSMETIC CENTER, P.A. is a procedural dermatology dermatology in Fort Lauderdale, FL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). AVENTURA DERMATOLOGY & COSMETIC CENTER, P.A. NPI is 1003003195. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Ft. Lauderdale Dermatology And Cosmetic Center.

The provider's business location address is:

5721 NE 27TH AVE
FORT LAUDERDALE, FL
ZIP 33308-703
Phone: (954) 772-0416
Fax: (954) 772-5716

The provider's authorized official is Igor Chaplik .
The authorized official title is Owner and has the following contact phone number (954) 772-0416.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 10/2/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

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