NPI 1215359872

Robert J. van der Leest MD, INC.

Organisation Dermatology Physician Fort Lauderdale, FL

Practice location

Address: 800 E Broward Blvd Suite 507, Fort Lauderdale, FL 33301-2008
Phone: (954) 736-4331
Fax: (954) 763-4775
Mailing address: 800 Creek Dr, Menlo Park, CA 94025-5317

Authorised official

Name: Robert Vanderleest
Title: MD
Phone: (650) 324-9135

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Florida →

Registry record

NPI: 1215359872
Entity type: Organization
NPI issued: 15 Jan 2014
Record last updated: 16 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.