Organization
MOUM & NIELSEN PA
Active
Other names
Dernatology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC EE MOUM MD (PHYSICIAN)
(561) 395-8701
Entity
Organization
Contact information
Practice address
445 FEDERAL HWY, BOCA RATON, FL 33432
(561) 395-8701
(561) 367-9338
Mailing address
445 FEDERAL HWY, BOCA RATON, FL 33432
(561) 395-8701
(561) 367-9338
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00354
BCBS GROUP
FL
Enumeration date
05/08/2006
Last updated
08/22/2020
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