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NPI 1003003195 · live from the CMS NPI Registry

Aventura Dermatology & Cosmetic Center, P.A.

Dermatology, Procedural Dermatology in Fort Lauderdale, FL. National Provider Identifier 1003003195, active.

NPI record

NPI1003003195 Type 2 · organization
StatusActive
Primary specialtyDermatology, Procedural Dermatology 207NS0135X
Practice location5721 Ne 27th Ave, Fort Lauderdale, FL 33308
Practice phone954-772-0416
EnumeratedOctober 2, 2007
Last updatedOctober 2, 2007
Authorized officialIgor Chaplik, Owner
Other namesFt. Lauderdale Dermatology And Cosmetic Center

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology, Procedural Dermatology primary207NS0135X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.