Organization
LAUDERDALE DERMATOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY L PEREZ MD (PRESIDENT)
(954) 771-0582
Entity
Organization
Contact information
Practice address
4610 NORTH FEDERAL HIGHWAY, FT LAUDERDALE, FL 33308
(954) 771-0582
(954) 771-6465
Mailing address
4610 NORTH FEDERAL HIGHWAY, FT LAUDERDALE, FL 33308
(954) 771-0582
(954) 771-6465
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME0068188
FL
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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