Organization
RONALD D SMITH AND EDUARDO WEISS MD PA
Active
Other names
DERMATOLOGY & COSMETIC SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JULIE SOTO (MANAGER)
(954) 961-1200
Entity
Organization
Contact information
Practice address
3850 HOLLYWOOD BLVD, SUITE 301, HOLLYWOOD, FL 33021-6748
(954) 961-1200
(954) 963-0378
Mailing address
3850 HOLLYWOOD BLVD, SUITE 301, HOLLYWOOD, FL 33021-6748
(954) 961-1200
(954) 963-0378
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
75865
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38381
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/11/2006
Last updated
05/15/2008
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