Organization
DERMATOLOGY AND COSMETIC CENTER, P.A.
Active
Other names
EASTSIDE DERMATOLOGY, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY ZIMMER (OFFICE MANAGER)
(954) 772-0416
Entity
Organization
Contact information
Practice address
5353 N FEDERAL HWY STE 400, FORT LAUDERDALE, FL 33308-3244
(954) 489-9800
Mailing address
5353 N FEDERAL HWY STE 400, FORT LAUDERDALE, FL 33308-3244
(954) 489-9800
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
OS8871
FL
Other
Enumeration date
06/20/2007
Last updated
01/29/2013
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