Organization
DERMATOLOGY CONSULTANTS OF S FL PA
Active
Organization
DERMATOLOGY CONSULTANTS OF S FL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY J KROLL MD (MD)
(954) 752-2630
Entity
Organization
Contact information
Practice address
3000 N UNIVERSITY DR, SUITE K, CORAL SPRINGS, FL 33065-5055
(954) 752-2630
(954) 755-1865
Mailing address
3000 N UNIVERSITY DR, SUITE K, CORAL SPRINGS, FL 33065-5055
(954) 752-2630
(954) 755-1865
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MP36624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99554
MEDICARE PTAN
FL
Enumeration date
08/29/2006
Last updated
11/27/2015
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