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BROWARD DERMATOLOGY AND COSMETIC SPECIALISTS
NPI 1063760502
Dermatology in Ft Lauderdale, FL

Active since August 15, 2012CLIA 10D2056081 · Certificate of Compliance
500 SE 15TH ST, SUITE 108, FT LAUDERDALE, FL 33316(954) 990-6591 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Broward Dermatology And Cosmetic Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROWARD DERMATOLOGY AND COSMETIC SPECIALISTS (NPI 1063760502) is a healthcare organization registered as a dermatology in Ft Lauderdale, Florida and active in the NPI registry since August 2012. The organization holds a CLIA Certificate of Compliance certificate valid through May 5, 2027 and lists Jerome R Obed, President, as its authorized official.

NPPES Registry Identity

NPI1063760502
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJEROME R OBED D.O.,P.A.
Location Address500 SE 15TH ST, SUITE 108Ft Lauderdale, FL 33316-1952
Mailing Address500 Se 15th St, Suite 108Ft Lauderdale, FL 33316-1952 · (954) 990-6591
Phone(954) 990-6591
Organization SubpartNo
Authorized OfficialJerome R ObedPresident · (954) 990-6591
Enumeration DateAugust 15, 2012
Last NPPES UpdateMay 13, 2014
✔ NPI 1063760502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
500 SE 15TH ST, Ft Lauderdale, FL 33316
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Other Names 1

Doing Business AsBroward Dermatology And Cosmetic Specialists

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2056081

Jerome R Obed Do PA · Fort Lauderdale, FL
Active · expires May 5, 2027
CLIA Number10D2056081
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorDr. Jerome R. Obed
Laboratory Phone(954) 990-6591
Laboratory LocationJerome R Obed Do PA500 SE 15th St Ste 108, Fort Lauderdale, FL 33316
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEROME R OBED DO
Dermatology
500 SE 15TH ST, SUITE #108
FORT LAUDERDALE, FL 33316
Broward County (954) 990-6591
BROWARD DERMATOLOGY
Clinic/Center (Medical Specialty)
500 SE 15TH ST, SUITE #108
FORT LAUDERDALE, FL 33316
Broward County (954) 990-6591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome R Obed D.O.,p.A.'s NPI number?

The NPI number for Jerome R Obed D.O.,p.A. is 1063760502. It was assigned to this organization in the NPPES registry on August 15, 2012. The provider is doing business as Broward Dermatology And Cosmetic Specialists.

Where is Jerome R Obed D.O.,p.A. located?

Jerome R Obed D.O.,p.A. is located at 500 SE 15th St Suite 108, Ft Lauderdale, FL 33316. The listed phone number is (954) 990-6591.

What is Jerome R Obed D.O.,p.A.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Jerome R Obed D.O.,p.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2056081) is associated with this NPI, valid through May 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jerome R Obed D.O.,p.A. accept?

Health plans from AvMed and Florida Blue (BlueCross BlueShield FL) list Jerome R Obed D.O.,p.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerome R Obed D.O.,p.A. was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.