NPI 1245621697

South Broward Hospital District

Organisation Dermatology Physician Hollywood, FL

Practice location

Address: 1150 N 35th Ave Suite 495, Hollywood, FL 33021-5424
Phone: (954) 265-7546
Mailing address: 2900 Corporate Way Mpg Door D, Miramar, FL 33025-3925

Authorised official

Name: Nina Beauchesne
Title: Sr Vice President Mhs
Phone: (954) 265-6996

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Florida →

Registry record

NPI: 1245621697
Entity type: Organization
NPI issued: 6 Feb 2015
Record last updated: 24 Feb 2015

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.