Individual
JEROME R OBED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 SE 15TH ST, SUITE #108, FORT LAUDERDALE, FL 33316-1952
(954) 990-6591
(954) 990-6524
Mailing address
500 SE 15TH ST, SUITE #108, FORT LAUDERDALE, FL 33316-1952
(954) 990-6591
(954) 990-6524
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS9463
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274900900
—
FL
01
—
OS 9463
MEDICAL LICENSE
FL
Enumeration date
03/01/2006
Last updated
08/20/2016
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