Ft. Lauderdale Dermatology & Cosmetic Center
NPI #1548411077 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1548411077
- Entity Type
- Organization
- Organization Name
- Ft. Lauderdale Dermatology & Cosmetic Center
- Primary Specialty
- Dermatology
- Enumeration Date
- Oct 2, 2008
- Last Updated
- Oct 2, 2008
Practice Location
- Address
- 5721 NE 27TH AVE
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33308-2703
- Phone
- (954) 772-0416
Authorized Official
- Name
- DR. JASON BRADLEY GREEN, D.O.
- Title
- PRESIDENT/OWNER
- Phone
- (954) 772-0416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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