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DERMATOLOGY BOUTIQUE PA
NPI 1104225887
Dermatology in Hallandale Beach, FL

Active since August 18, 2014CLIA 10D2128465 · Certificate of Compliance
110 N FEDERAL HWY, STE 302, HALLANDALE BEACH, FL 33009(855) 465-6621(888) 407-3376 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2020, Apr 11, 2019 (2 updates tracked since 2019).

About Dermatology Boutique Pa NPPES

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

DERMATOLOGY BOUTIQUE PA (NPI 1104225887) is a healthcare organization registered as a dermatology in Hallandale Beach, Florida and active in the NPI registry since August 2014. The organization holds a CLIA Certificate of Compliance certificate valid through August 1, 2027 and lists Cynthia Ann Golomb, Owner, as its authorized official.

NPPES Registry Identity

NPI1104225887
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY BOUTIQUE PA
Location Address110 N FEDERAL HWY, STE 302Hallandale Beach, FL 33009-4300
Mailing Address100 N Federal Hwy Ste 202Hallandale Beach, FL 33009-4373 · (855) 465-6621 · Fax (888) 407-3376
Phone(855) 465-6621
Fax(888) 407-3376
Organization SubpartNo
Authorized OfficialCynthia Ann GolombOwner · (855) 465-6621
Enumeration DateAugust 18, 2014
Last NPPES UpdateFebruary 25, 20202 updates tracked since enumeration
✔ NPI 1104225887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME74763
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.
110 N FEDERAL HWY, Hallandale Beach, FL 33009
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 10D2128465

Dermatology Boutique PA · Hallandale, FL
Active · expires Aug 1, 2027
CLIA Number10D2128465
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorDr. Cynthia A. Golomb
Laboratory Phone(855) 465-6621
Laboratory LocationDermatology Boutique PA100 N Federal Hwy Ste 202, Hallandale, FL 33009
CLIA data matches this NPI record on: Name 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 10

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

GURBACHAN PAL SONI M.D. PA.
Surgery
110 N FEDERAL HWY, SUITE#302
HALLANDALE BEACH, FL 33009
Broward County (954) 458-5000
SHARON LYNN BROWN OTR/L, CLT
Occupational Therapist
110 N FEDERAL HWY, SUITE 201
HALLANDALE BEACH, FL 33009
Broward County (954) 455-2121
JULIA NAMULAWA OTR/L, CLT
Occupational Therapist
110 N FEDERAL HWY, SUITE 201
HALLANDALE BEACH, FL 33009
Broward County (954) 455-2121
MRS. ELIZABETH ANNE SHAPIRO OT
Specialist
110 N FEDERAL HWY, SUITE 201
HALLANDALE BEACH, FL 33009
Broward County (954) 455-2121
HEALING HANDS OF LYMPHATICS PLUS LLC
Specialist
110 N FEDERAL HWY, SUITE 201
HALLANDALE BEACH, FL 33009
Broward County (954) 455-2121
MILLENNIUM WELLNESS CENTER
Psychologist
110 N FEDERAL HWY, 104
HALLANDALE BEACH, FL 33009
Broward County (305) 417-0006
LYMPHATIC TOUCH
Specialist
110 N FEDERAL HWY, SUITE 302
HALLANDALE BEACH, FL 33009
Broward County (954) 274-1881
DR. LAKHVINDER KAUR NARULA M.D.
Internal Medicine (Cardiovascular Disease)
110 N FEDERAL HWY, SUITE#302
HALLANDALE BEACH, FL 33009
Broward County (954) 458-5000

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 Dermatology Boutique PA's NPI number?

The NPI number for Dermatology Boutique PA is 1104225887. It was assigned to this organization in the NPPES registry on August 18, 2014.

Where is Dermatology Boutique PA located?

Dermatology Boutique PA is located at 110 N Federal Hwy Ste 302, Hallandale Beach, FL 33009. The listed phone number is (855) 465-6621.

What is Dermatology Boutique PA's specialty?

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

Does Dermatology Boutique PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2128465) is associated with this NPI, valid through August 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology Boutique PA was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.