Organization
MSDERMATOLOGY PLLC
Active
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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