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ELIAS DERMATOLOGY LLC NPI 1487042636


NPI Information

NPI: 1487042636
Provider Name: ELIAS DERMATOLOGY LLC
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 10D2103178

Address:
4610 N FEDERAL HWY
FORT LAUDERDALE, FL
ZIP 33308
Phone: (954) 771-0582
Get Directions

ELIAS DERMATOLOGY LLC is a dermatology in Fort Lauderdale, FL. The provider is 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 additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. 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:

4610 N FEDERAL HWY
FORT LAUDERDALE, FL
ZIP 33308-206
Phone: (954) 771-0582
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 4/30/2021.


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
1207N00000XDermatologyOS9756FLORIDAYes
2207ND0101XDermatologyMOHS-Micrographic SurgeryOS9756FLORIDANo
3207ND0900XDermatologyDermatopathologyOS9756FLORIDANo
4207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyOS9756FLORIDANo
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: 11/14/2023

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