Organization
MSDERMATOLOGY PLLC
Active
Other names
Mohs and Skin Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL IAN SHIMAN MD (AUTHORIZED MEMBER)
(561) 424-7546
Entity
Organization
Contact information
Practice address
10075 S JOG RD STE 306, BOYNTON BEACH, FL 33437-3537
(561) 424-7546
Mailing address
10075 S JOG RD STE 306, BOYNTON BEACH, FL 33437-3537
(561) 424-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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