NPI 1013571447 · live from the CMS NPI Registry
Aventus Dermatology LLC
Dermatology in Davie, FL. National Provider Identifier 1013571447, active.
NPI record
| NPI | 1013571447 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 5200 S University Dr Ste 102a, Davie, FL 33328 |
| Practice phone | 954-801-1953 |
| Enumerated | May 1, 2019 |
| Last updated | May 13, 2019 |
| Authorized official | Carlos Nousari, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.