Derma Laser Center LLC

NPI #1457806937 in Hallandale Beach, Florida

Provider Information

NPI Number: 1457806937
Entity Type: Organization
Organization Name: Derma Laser Center LLC
Primary Specialty: General Practice
Enumeration Date: Aug 24, 2016
Last Updated: Aug 24, 2016

Practice Location

Address: 701 W HALLANDALE BEACH BLVD # 104-105
City: Hallandale Beach
State: Florida
ZIP Code: 33009-5327
Phone: (954) 367-7073

Authorized Official

Name: DR. NADER SHEHATA, M.D.
Title: OWNER
Phone: (305) 606-8831

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
General Practice	208D00000X	Primary

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