Organization
BROWARD DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAN HUO M.D. (PRESIDENT)
(954) 562-0945
Entity
Organization
Contact information
Practice address
14932 PINES BLVD, PEMBROKE PINES, FL 33027-1213
(954) 562-0945
Mailing address
16766 SW 51ST ST, MIRAMAR, FL 33027-4917
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME115609
FL
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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