Organization
JEROME R OBED D.O.,P.A.
Active
Other names
Broward Dermatology and Cosmetic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME R OBED D.O. (PRESIDENT)
(954) 990-6591
Entity
Organization
Contact information
Practice address
500 SE 15TH ST, SUITE 108, FT LAUDERDALE, FL 33316-1952
(954) 990-6591
Mailing address
500 SE 15TH ST, SUITE 108, FT LAUDERDALE, FL 33316-1952
(954) 990-6591
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
08/15/2012
Last updated
05/13/2014
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