Aventura Dermatology & Cosmetic Center, P.A.
Dermatology, Procedural Dermatology in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1003003195
StatusActive
Last updated in NPPESOct 2, 2007
Details
- NPI
- 1003003195
- Entity type
- Organization (NPI-2)
- Legal business name
- Aventura Dermatology & Cosmetic Center, P.A.
- Organization subpart
- No
- Enumeration date
- Oct 2, 2007
- Last updated
- Oct 2, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207NS0135X | Dermatology, Procedural Dermatology | – | – | Yes |
Other names
- Ft. Lauderdale Dermatology And Cosmetic Center (Former Legal Business Name)
Practice location
5721 Ne 27th AveFort Lauderdale, FL 33308-2703
Phone 954-772-0416 · Fax 954-772-5716
Mailing address
5721 Ne 27th AveFort Lauderdale, FL 33308-2703
Phone 954-772-0416 · Fax 954-772-5716
Authorized official
Igor Chaplik
Owner
9547720416
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