Organization
DERMATOLOGY BOUTIQUE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA ANN GOLOMB MD (OWNER)
(855) 465-6621
Entity
Organization
Contact information
Practice address
110 N FEDERAL HWY, STE 302, HALLANDALE BEACH, FL 33009-4300
(855) 465-6621
(888) 407-3376
Mailing address
100 N FEDERAL HWY STE 202, HALLANDALE BEACH, FL 33009-4373
(855) 465-6621
(888) 407-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME74763
FL
Other
Enumeration date
08/18/2014
Last updated
02/25/2020
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