Organization
EASTSIDE DERMATOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR CHAPLIK D.O. (PRESIDENT)
(954) 489-9800
Entity
Organization
Contact information
Practice address
5353 N FEDERAL HWY, SUITE 400, FORT LAUDERDALE, FL 33308-3245
(954) 489-9800
(954) 489-0401
Mailing address
5353 N FEDERAL HWY, SUITE 400, FORT LAUDERDALE, FL 33308-3245
(954) 489-9800
(954) 489-0401
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800002278
FL
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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