Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ft Lauderdale Dermatology & Cosmetic Center

Organization Dermatology Physician · NPI 1548411077

Ft Lauderdale Dermatology & Cosmetic Center provides Dermatology Physician services in Ft Lauderdale, Florida. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

5721 NE 27th Ave
Ft Lauderdale, FL 33308-2703 Not confirmed with CMS for 18 years — call before visiting
Phone: (954) 772-0416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1548411077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Green — President/Owner · (954) 772-0416
NPI enumeratedOctober 2, 2008
Last updated in NPPESOctober 2, 2008
Mailing address5721 Ne 27th Ave, Ft Lauderdale, FL 33308-2703

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