Dermatology of Pompano LLC
NPI #1720652514 in Lighthouse Point, Florida
Provider Information
- NPI Number
- 1720652514
- Entity Type
- Organization
- Organization Name
- Dermatology of Pompano LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- May 17, 2021
- Last Updated
- Jul 18, 2022
Practice Location
- Address
- 2040 E SAMPLE RD
- City
- Lighthouse Point
- State
- Florida
- ZIP Code
- 33064-7596
- Phone
- (954) 960-5404
Authorized Official
- Name
- MR. EDWARD DELGADO KOZIKOWSKI
- Title
- PRESIDENT
- Phone
- (954) 960-5404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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