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Organization

BROWARD DERMATOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ZHIFENG HUO M.D. (DIRECTOR)
(954) 362-4106
Entity
Organization

Contact information

Practice address
14932 PINES BLVD, PEMBROKE PINES, FL 33027-1213
(954) 235-5361
(954) 236-4106
Mailing address
16766 SW 51ST ST, MIRAMAR, FL 33027-4917
(954) 235-5361
(954) 623-4106

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME115609
FL
207ND0900X
Dermatopathology Physician
ME80400
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1336272608
1336272608, NPI
FL
Enumeration date
03/14/2014
Last updated
03/14/2014
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