Organization
DERMATOLOGY BOUTIQUE PA
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up