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BROWARD DERMATOLOGY LLC NPI 1518383470


NPI Information

NPI: 1518383470
Provider Name: BROWARD DERMATOLOGY LLC
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 10D2078111

Address:
14932 PINES BLVD
PEMBROKE PINES, FL
ZIP 33027
Phone: (954) 235-5361
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BROWARD DERMATOLOGY LLC is a dermatology in Pembroke Pines, 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. BROWARD DERMATOLOGY LLC NPI is 1518383470. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14932 PINES BLVD
PEMBROKE PINES, FL
ZIP 33027-213
Phone: (954) 235-5361
Fax: (954) 236-4106

The provider's authorized official is Zhifeng Huo .
The authorized official title is Director and has the following contact phone number (954) 362-4106.

The CLIA number assigned to this NPI record is 10D2078111 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/14/2014 and was last updated on 3/14/2014.


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
1207ND0900XDermatologyDermatopathologyME80400FLORIDANo
2207N00000XDermatologyME115609FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11336272608OTHERFLORIDA1336272608, NPI
21376779371MEDICARE UPINFLORIDA

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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