Organization · Type 2 NPI
Derma Laser Center LLC
General Practice Physician · Hallandale Beach, FL
NPI number
1457806937
Active
Practice location
701 W Hallandale Beach Blvd # 104-105
Hallandale Beach, FL 33009-5327
Fax (954) 367-7075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1457806937
Derma Laser Center LLC's National Provider Identifier is 1457806937, issued on Aug 24, 2016. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Hallandale Beach, FL. The record was last updated on Aug 24, 2016.