Organization
DERMATOLOGY AND COSMETIC CENTER, P.A.
Active
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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