ELIAS DERMATOLOGY LLC NPI 1487042636

NPI Information

  • NPI: 1487042636
  • Provider Name: ELIAS DERMATOLOGY LLC
  • Classification: Dermatology - 207NI0002X
  • Specialization: Clinical & Laboratory Dermatological Immunology
  • Entity Type: Organization
  • CLIA Number: 10D2103178
  • Address: 3100 E COMMERCIAL BLVD
    FORT LAUDERDALE, FL
    ZIP 33308
  • Phone: (415) 802-1310

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NPI Details

ELIAS DERMATOLOGY LLC is a clinical and laboratory dermatological immunology dermatology in Fort Lauderdale, FL. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. ELIAS DERMATOLOGY LLC NPI is 1487042636. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3100 E COMMERCIAL BLVD
FORT LAUDERDALE, FL
ZIP 33308-327
Phone: (415) 802-1310
Fax: (954) 771-0582

The provider's authorized official is Matthew J Elias .
The authorized official title is Manager Member and has the following contact phone number (415) 802-1310.

The CLIA number assigned to this NPI record is 10D2103178 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/22/2014 and was last updated on 12/13/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyOS9756FLORIDANo
2207ND0101XDermatologyMOHS-Micrographic SurgeryOS9756FLORIDANo
3207ND0900XDermatologyDermatopathologyOS9756FLORIDANo
4207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyOS9756FLORIDAYes
5207NP0225XDermatologyPediatric DermatologyOS9756FLORIDANo
6207NS0135XDermatologyProcedural DermatologyOS9756FLORIDANo

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: 11/21/2025

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