Organization
DERMASURGEONS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE E MENDEZ D.O. (PRESIDENT)
(954) 431-7681
Entity
Organization
Contact information
Practice address
12600 PEMBROKE ROAD, SUITE 100, MIRAMAR, FL 33027
(954) 431-7681
(954) 431-7682
Mailing address
12600 PEMBROKE ROAD, SUITE 100, MIRAMAR, FL 33027
(954) 431-7681
(954) 431-7682
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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