Organization
INTEGRATED DERMATOLOGY OF GLADES ROAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FROMOWITZ MD (AUTHORIZED OFFICIAL)
(561) 314-2000
Entity
Organization
Contact information
Practice address
1050 NW 15TH ST, STE 201A, BOCA RATON, FL 33486-1375
(561) 368-4545
(561) 368-4041
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 314-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
01/18/2019
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