Organization
AVENTUS DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS NOUSARI MD (OWNER)
(954) 801-1953
Entity
Organization
Contact information
Practice address
5200 S UNIVERSITY DR STE 102A, DAVIE, FL 33328-5316
(954) 801-1953
Mailing address
5200 S UNIVERSITY DR STE 102A, DAVIE, FL 33328-5316
(954) 801-1953
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/01/2019
Last updated
05/13/2019
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