BROWARD DERMATOLOGY LLC (NPI# 1518383470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518383470 |
| Entity Type | Organization |
| Organization Name | BROWARD DERMATOLOGY LLC |
| Practice Address |
14932 Pines Blvd Pembroke Pines FL 33027-1213 |
| Mailing Address |
16766 Sw 51st St Miramar FL 33027-4917 |
| Practice Telephone | 9542355361 |
| Practice Fax Number | 9542364106 |
| Mailing Telephone | 9542355361 |
| Mailing Fax Number | 9546234106 |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |
| Authorized Official Name | DR. ZHIFENG HUO (DIRECTOR) |
| Authorized Official Telephone | 9543624106 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
ME80400 | FL | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | ME115609 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1336272608, NPI | 1336272608 | 01 |
| Street Address |
14932 PINES BLVD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33027-1213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336272608 | Zhifeng Huo | Pathology | 14932 Pines Blvd, Pembroke Pines, FL 33027-1213 | 2007-03-14 |
| 1588098016 | Broward Dermatology, LLC | Clinic/Center | 14932 Pines Blvd, Pembroke Pines, FL 33027-1213 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474808 | A&d Community Mental Health, LLC | Community/Behavioral Health | 1333 Sw 16th Ave, Pembroke Pines, FL 33027 | 2020-10-12 |
| 1275172256 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 12681 Miramar Parkway, Miramar, FL 33027 | 2019-12-23 |
| 1902449424 | Marine M Brown | Nurse Practitioner | 4343 Sw 128th Avenue, Mirmar, FL 33027 | 2019-10-28 |
| 1427699107 | Suncare Therapy, Inc | Physical Therapist | 111 Grant Palms Dr, Pembroke Pines, FL 33027 | 2019-10-03 |
| 1245888080 | Nicole Angelique Munoz | Nurse Practitioner | 12600 Pembroke Rd Ste 200, Miramar, FL 33027 | 2019-08-26 |
| 1770052334 | Katalyst Health, LLC | Family Medicine | 14704 Sw 11 Street, Pembroke Pines, FL 33027 | 2018-11-13 |
| 1700362076 | Jovani Miguel Gonzalez | Dentist | 3600 Sw 163rd Ave, Miramar, FL 33027 | 2018-07-19 |
| 1336648310 | Janelle Monique Mitchell | Behavior Technician | 3350 Sw 148th Ave Suite 110, Miramar, FL 33027 | 2018-02-06 |
| 1437667557 | Elizabeth Connors | Specialist/Technologist | 17089 Sw 16th St, Pembroke Pines, FL 33027 | 2018-01-11 |
| 1992217806 | Bibi Farida Roberts | Counselor | 3590 Sw 142nd Ave, Miramar, FL 33027 | 2017-11-01 |
| Find all providers in zip 33027 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033684873 | Matthew Hendricks | Dermatology | 3 Sw 129th Ave Ste 100, Pembroke Pines, FL 33027-1778 | 2018-10-08 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1265810774 | Ron Ramirez | Dermatology | 10067 Pines Blvd Ste A, Pembroke Pines, FL 33024 | 2015-05-15 |
| 1508922451 | Stanley A. Spatz, Md, Pa | Dermatology | 601 N. Flamingo Road, Suite 313, Pembroke Pines, FL 33028 | 2006-12-28 |
| 1194749259 | Carlos Cohen | Dermatology | 17900 Nw 5th St Ste 204, Pembroke Pines, FL 33029-2809 | 2006-07-26 |
| 1730100892 | Scott Howard Deckelbaum | Dermatology | 603 N Flamingo Rd Ste 350, Pembroke Pines, FL 33028-1013 | 2006-07-22 |
| 1811299449 | Seymour H. Munzer, M.d and Associates, Pa | Dermatology | 2301 N University Dr, Suite 201, Pembroke Pines, FL 33024-3617 | 2010-12-02 |
| 1083885727 | Edmund A Geller M D P A | Dermatology | 1 Sw 129th Ave, Suite 200, Pembroke Pines, FL 33027-1761 | 2008-03-21 |
| 1356530398 | Ewa Kolanko | Dermatology | 603 N Flamingo Rd, Suite 350, Pembroke Pines, FL 33028-1023 | 2007-10-16 |
| 1699972463 | Carlos Cohen, Md Pa | Dermatology | 17900 Nw 5th St, Suite 204, Pembroke Pines, FL 33029-2809 | 2007-06-27 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33027 |
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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.