Organization
PBD&P INC
Active
Other names
PALM BEACH DERMATOLOGY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL O SOKOLOFF M.D. (PRESIDENT)
(561) 840-0995
Entity
Organization
Contact information
Practice address
4475 MEDICAL CENTER WAY, SUITE 2, WEST PALM BEACH, FL 33407-3240
(561) 840-0995
(561) 840-0661
Mailing address
4475 MEDICAL CENTER WAY, SUITE 1, WEST PALM BEACH, FL 33407-3240
(561) 840-0995
(561) 840-0661
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21482
BLUE CROSS GROUP NUMBER
FL
Enumeration date
02/23/2006
Last updated
05/04/2012
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