AMERICAN MOBILE DERMATOLOGY LLC (NPI# 1821125584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821125584 |
| Entity Type | Organization |
| Organization Name | AMERICAN MOBILE DERMATOLOGY LLC |
| Practice Address |
1054 Gateway Blvd Suite 110 Boynton Beach FL 33426-8309 |
| Practice Telephone | 5617384770 |
| Practice Fax Number | 5617389727 |
| Mailing Telephone | 5617384770 |
| Mailing Fax Number | 5617389727 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2013-03-18 |
| Authorized Official Name | JAMES JUDE DEVOURSNEY (OWNER) |
| Authorized Official Telephone | 5617384770 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME80429 | FL | Other Service Providers |
| Street Address |
1054 GATEWAY BLVD SUITE 110 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33426-8309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972502771 | Jennifer Stevens Drapp | Chiropractor | 1054 Gateway Blvd, Suite 110, Boynton Beach, FL 33463 | 2005-07-14 |
| 1669832341 | Pure Age Management LLC | Physician Assistant | 1054 Gateway Blvd, Suite 103, Boynton Beach, FL 33426-8301 | 2016-02-24 |
| 1477810281 | Cory Haimon, Dpm Pa | Podiatrist | 1054 Gateway Blvd, Ste 110, Boynton Beach, FL 33426-8301 | 2012-04-18 |
| 1346366655 | Jennifer Maharrey | Nurse Practitioner | 1054 Gateway Blvd, Suite 110, Boynton Beach, FL 33426-8301 | 2007-03-21 |
| 1518083898 | Sandra Lillian Allen | Nurse Practitioner | 1054 Gateway Blvd, Suite 110, Boynton Beach, FL 33426-8301 | 2007-03-21 |
| 1780727941 | American Mobile Dermatology | Specialist | 1054 Gateway Blvd, Suite 110, Boynton Beach, FL 33426-8309 | 2007-02-15 |
| 1629111240 | Beatriz Corrales | Physician Assistant | 1054 Gateway Blvd, Boynton Beach, FL 33426-8301 | 2007-02-14 |
| 1205978582 | Chelline Mathis Snyder | Physician Assistant | 1054 Gateway Blvd, Suite 110, Boynton Beach, FL 33426-8301 | 2007-02-13 |
| 1447330923 | Jamie B Friedman | Physician Assistant | 1054 Gateway Blvd, Suite 110, Boynton Beach, FL 33426-8301 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083231690 | Gail J Laufer Inc | Clinic/Center | 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 | 2020-06-30 |
| 1497399125 | Roots To Recovery, LLC | Substance Abuse Rehabilitation Facility | 514 Nw 7th Court, Boynton Beach, FL 33426 | 2019-11-06 |
| 1609429547 | Roman Health Pharmacy LLC | Pharmacy | 3602 Quantum Blvd, Boynton Beach, FL 33426 | 2019-07-19 |
| 1710457783 | Immersion Residential LLC | Substance Abuse Rehabilitation Facility | 900 N Congress Ave, Boynton Beach, FL 33426 | 2018-12-03 |
| 1013425727 | Latoya Camay Howell | Family Medicine | 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 | 2018-01-16 |
| 1699292979 | Vitae Services of The Palm Beaches, Inc. | Home Health | 517 Industrail Ave., Boynton Beach, FL 33426 | 2017-08-28 |
| 1063933075 | Perla G Salazar | Dentist | 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 | 2017-06-29 |
| 1801339411 | Marianna Zadov, P.a | Dentist | 1301 N Congress Ave #110, Boyton Beach, FL 33426 | 2016-11-30 |
| 1366801334 | Medical Consultants of Florida | Non-Pharmacy Dispensing Site | 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 | 2016-02-18 |
| 1396114443 | Beachway Therapy Center LLC | Substance Abuse Rehabilitation Facility | 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 | 2015-09-18 |
| Find all providers in zip 33426 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356884316 | Eric Weinberg | Specialist | 9792 Sun Pointe Dr, Boynton Beach, FL 33437-3332 | 2016-11-23 |
| 1073862439 | Orthopedic Solutions of S. Florida Inc | Specialist | 562 E Woolbright Rd, Boynton Beach, FL 33435-6033 | 2012-08-31 |
| 1013271311 | Sheryl Lewis | Specialist | 808 Sw 5th Ct, Boynton Beach, FL 33426-4722 | 2012-07-02 |
| 1568731701 | Obgyn Healthcare for Women | Specialist | 2828 S Seacrest Blvd Ste 201, Boynton Beach, FL 33435-7944 | 2011-12-16 |
| 1952632861 | Maxine Karas | Specialist | 36 Stratford Ln W, Apt. D, Boynton Beach, FL 33436-6330 | 2010-01-18 |
| 1104010875 | Miguel A Lopez-viego Md Pa | Specialist | 2800 South Seacrest Boulevard, Suite 200, Boynton Beach, FL 33435 | 2007-09-05 |
| 1467644393 | Murphys Occupational Therapy Services Inc | Specialist | 2301 S Congress Ave Apt 123, Boynton Beach, FL 33426-7465 | 2007-08-14 |
| 1306049457 | East Delray Medical P A | Specialist | 16 Lake Eden Dr, Boynton Beach, FL 33435-8667 | 2007-06-07 |
| 1891998993 | Elizabeth Anna Magee | Specialist | 12658 Majestic Isles Dr, Boynton Beach, FL 33437-4156 | 2007-06-06 |
| 1376757393 | Robert Anthony Henry | Specialist | 9115 Cavatina Pl, Boynton Beach, FL 33437-5132 | 2007-05-09 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33426 |
Please comment or provide details below to improve the information on AMERICAN MOBILE DERMATOLOGY LLC.
| 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.