Organization
INTEGRATED DERMATOLOGY OF WEST BROWARD LLC
Active
Organization
INTEGRATED DERMATOLOGY OF WEST BROWARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY QUEEN (PRESIDENT)
(561) 241-6676
Entity
Organization
Contact information
Practice address
8035 W OAKLAND PARK BLVD, SUNRISE, FL 33351-1116
(561) 241-6676
Mailing address
951 BROKEN SOUND PKWY NW, STE 115, BOCA RATON, FL 33487-3507
(561) 241-6676
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
08/28/2007
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