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Organization

ELIAS DERMATOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW J ELIAS D.O. (MANAGER MEMBER)
(415) 802-1310
Entity
Organization

Contact information

Practice address
3100 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-4327
(415) 802-1310
(954) 771-0582
Mailing address
3100 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-4327
(415) 802-1310
(954) 771-0582

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
OS9756
FL
207ND0101X
MOHS-Micrographic Surgery Physician
OS9756
FL
207ND0900X
Dermatopathology Physician
OS9756
FL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
OS9756
FL
207NP0225X
Pediatric Dermatology Physician
OS9756
FL
207NS0135X
Procedural Dermatology Physician
OS9756
FL

Other

Enumeration date
12/22/2014
Last updated
12/13/2024
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