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Organization

DERMA LASER CENTER LLC

Active
Other names
HPE Medical
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NADER SHEHATA M.D. (OWNER)
(305) 606-8831
Entity
Organization

Contact information

Practice address
701 W HALLANDALE BEACH BLVD # 104-105, HALLANDALE BEACH, FL 33009-5327
(954) 367-7073
(954) 367-7075
Mailing address
701 W HALLANDALE BEACH BLVD # 104-105, HALLANDALE BEACH, FL 33009-5327
(954) 367-7073
(954) 367-7075

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
08/24/2016
Last updated
08/24/2016
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