Lauderdale Dermatology PA

NPI #1750474615 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1750474615
Entity Type: Organization
Organization Name: Lauderdale Dermatology PA
Primary Specialty: Dermatology
Enumeration Date: Oct 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4610 NORTH FEDERAL HIGHWAY
City: Ft Lauderdale
State: Florida
ZIP Code: 33308
Phone: (954) 771-0582

Authorized Official

Name: GREGORY L PEREZ, MD
Title: PRESIDENT
Phone: (954) 771-0582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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