BROWARD DERMATOLOGY (NPI# 1841555786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841555786 |
| Entity Type | Organization |
| Organization Name | BROWARD DERMATOLOGY |
| Practice Address |
500 Se 15th St Suite #108 Fort Lauderdale FL 33316-1952 |
| Practice Telephone | 9549906591 |
| Mailing Telephone | 9549906591 |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | DR. JEROME OBED (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9549906591 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
OS9463 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | OS9463 | 01 |
| Street Address |
500 SE 15TH ST SUITE #108 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720055585 | Jerome R Obed | Dermatology | 500 Se 15th St, Suite #108, Fort Lauderdale, FL 33316-1952 | 2006-03-01 |
| 1316109382 | Joshua Benamoz | Pharmacist | 500 Se 15th St, Suite 120, Fort Lauderdale, FL 33316-1952 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033394333 | From Woman To All Women | Clinic/Center | 4542 N Federal Hwy, Fort Lauderdale, FL 33308-5204 | 2008-01-04 |
| 1831534049 | Be Your Best, Inc. | Clinic/Center | 4540 N Federal Hwy, Fort Lauderdale, FL 33308-5204 | 2013-05-01 |
| 1013264985 | Paul Wigoda, Md, Pa | Clinic/Center | 1404 E Broward Blvd, Fort Lauderdale, FL 33301-2138 | 2012-08-10 |
| 1053646174 | Valentina Bradley Md, Pa | Clinic/Center | 6333 N Federal Hwy, Suite 110, Fort Lauderdale, FL 33308-1907 | 2009-10-07 |
| 1790957215 | R. G. Stratt, Md, Pa | Clinic/Center | 100 N Federal Hwy, Suite C-2, Fort Lauderdale, FL 33301-1129 | 2008-03-25 |
| 1508952458 | Will Richardson Md Pa | Clinic/Center | 1120 Bayview Dr, Fort Lauderdale, FL 33304-2505 | 2006-10-05 |
| 1467422097 | Khadra M Osman M D P A | Clinic/Center | 1625 Se 3rd Ave, Suite 400, Fort Lauderdale, FL 33316-2521 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809076 | Michelle P Gillespie Do Pa | Clinic/Center | 2330 W Horatio St Ste 200, Tampa, FL 33609-3590 | 2020-07-23 |
| 1508480864 | Amelia Respiratory and Sleep Medicine LLC | Clinic/Center | 1560 Park Ln, Fernandina Beach, FL 32034-1940 | 2020-06-02 |
| 1538781364 | Blue Lotus Endocrine Company Inc | Clinic/Center | 1101 E. Cumberland Ave, Ste 201h #128, Tampa, FL 33602-4231 | 2020-05-14 |
| 1881221075 | Simmons Pediatrics | Clinic/Center | 1771 Edgewood Ave W Ste 1, Jacksonville, FL 32208-7208 | 2020-03-26 |
| 1891327326 | Curative Care Center | Clinic/Center | 1978 Rockledge Blvd Ste 103, Rockledge, FL 32955-3722 | 2020-02-12 |
| 1427689975 | Integrity Spine & Orthopedics of Melbourne LLC | Clinic/Center | 1640 Highway A1a Ste C, Satellite Beach, FL 32937-5451 | 2020-02-03 |
| 1881234102 | Better Health and Rehab | Clinic/Center | 4136 Berkshire Loop, Lakeland, FL 33813-4465 | 2020-01-14 |
| 1578105573 | Venous Solutions of Florida Inc | Clinic/Center | 506 E Tipton Rd, Plant City, FL 33567-9373 | 2019-10-10 |
| 1841847597 | Premier Medical Concierge, LLC | Clinic/Center | 9655 Tamiami Trl N Ste 202, Naples, FL 34108-2796 | 2019-08-19 |
| 1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.