Organization
DERMATOLOGY OF POMPANO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD DELGADO KOZIKOWSKI (PRESIDENT)
(954) 960-5404
Entity
Organization
Contact information
Practice address
2040 E SAMPLE RD, LIGHTHOUSE POINT, FL 33064-7596
(954) 960-5404
(754) 800-7174
Mailing address
2040 E SAMPLE RD, LIGHTHOUSE POINT, FL 33064-7596
(954) 960-5404
(754) 800-7174
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
07/18/2022
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