FT. LAUDERDALE DERMATOLOGY & COSMETIC CENTER
NPI 1548411077
Dermatology in Ft Lauderdale, FL

Active since October 02, 2008
5721 NE 27TH AVE, FT LAUDERDALE, FL 33308(954) 772-0416 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ft. Lauderdale Dermatology & Cosmetic Center NPPES

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

FT. LAUDERDALE DERMATOLOGY & COSMETIC CENTER (NPI 1548411077) is a healthcare organization registered as a dermatology in Ft Lauderdale, Florida and active in the NPI registry since October 2008. The organization lists Jason Bradley Green, President/owner, as its authorized official.

NPPES Registry Identity

NPI1548411077
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFT. LAUDERDALE DERMATOLOGY & COSMETIC CENTER
Location Address5721 NE 27TH AVEFt Lauderdale, FL 33308-2703
Mailing Address5721 Ne 27th AveFt Lauderdale, FL 33308-2703 · (954) 772-0416
Organization SubpartNo
Authorized OfficialJason Bradley GreenPresident/owner · (954) 772-0416
Enumeration DateOctober 2, 2008
NPI 1548411077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
5721 NE 27TH AVE, Ft Lauderdale, FL 33308

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

Other Providers at the Same Location NPPES 3

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

Dermatology (Procedural Dermatology)
5721 NE 27TH AVE
FORT LAUDERDALE, FL 33308
Dermatology
5721 NE 27TH AVE
FORT LAUDERDALE, FL 33308
Dermatology
5721 NE 27TH AVE
FORT LAUDERDALE, FL 33308

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 Ft. Lauderdale Dermatology & Cosmetic Center's NPI number?

The NPI number for Ft. Lauderdale Dermatology & Cosmetic Center is 1548411077. It was assigned to this organization in the NPPES registry on October 2, 2008.

Where is Ft. Lauderdale Dermatology & Cosmetic Center located?

Ft. Lauderdale Dermatology & Cosmetic Center is located at 5721 NE 27th Ave, Ft Lauderdale, FL 33308. The listed phone number is (954) 772-0416.

What is Ft. Lauderdale Dermatology & Cosmetic Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Ft. Lauderdale Dermatology & Cosmetic Center was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.