LAUDERDALE DERMATOLOGY PA – Dermatology Physician, NPI 1750474615

LAUDERDALE DERMATOLOGY PA is a healthcare provider. based in Ft lauderdale, Florida. specializing in Dermatology Physician. The organization holds a License No. ME0068188 (FL). The NPI Number for LAUDERDALE DERMATOLOGY PA is 1750474615

Main info

Organization
Name
LAUDERDALE DERMATOLOGY PA
NPI
1750474615
Phone
(954) 771-0582
Address
4610 NORTH FEDERAL HIGHWAY
Authorized Official
GREGORY L PEREZ PRESIDENT MD
Enumeration Date
2 October 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for LAUDERDALE DERMATOLOGY PA

  • 4610, North Federal Highway, Coral Hills, Fort Lauderdale, Broward County, Florida, 33308, United States

    FT LAUDERDALE, FL 33308

    Phone: (954) 771-0582

    Fax: (954) 771-6465

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33308)

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Reviews

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Frequently asked questions

Where can patients find LAUDERDALE DERMATOLOGY PA's NPI?
You can confirm LAUDERDALE DERMATOLOGY PA with NPI 1750474615; it appears in the national provider directory.
Is LAUDERDALE DERMATOLOGY PA's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does LAUDERDALE DERMATOLOGY PA treat or focus on?
Patients typically see LAUDERDALE DERMATOLOGY PA under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location shows for LAUDERDALE DERMATOLOGY PA?
We surface Ft Lauderdale, Florida for LAUDERDALE DERMATOLOGY PA based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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