| Broward Dermatology, Llc | |
|
14932 Pines Blvd Pembroke Pines FL 33027-1213 | |
| (954) 562-0945 | |
| Not Available |
| Full Name | Broward Dermatology, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 14932 Pines Blvd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Ran Huo (PRESIDENT) |
| Authorized Official Contact | 9545620945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broward Dermatology, Llc 16766 Sw 51st St Miramar FL 33027-4917 Ph: () - | Broward Dermatology, Llc 14932 Pines Blvd Pembroke Pines FL 33027-1213 Ph: (954) 562-0945 |
| NPI Number | 1588098016 |
|---|---|
| Provider Enumeration Date | 09/03/2013 |
| Last Update Date | 09/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588098016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ME115609 (Florida) | Primary |
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