BROWARD DERMATOLOGY
NPI 1841555786
Clinic/Center - Medical Specialty in Fort Lauderdale, FL

Active since July 06, 2012
500 SE 15TH ST, SUITE #108, FORT LAUDERDALE, FL 33316(954) 990-6591 Get Directions Write a Review

NPPES record last updated: January 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Broward Dermatology NPPES

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

BROWARD DERMATOLOGY (NPI 1841555786) is a healthcare organization registered as a medical specialty in Fort Lauderdale, Florida and active in the NPI registry since July 2012. The organization lists Jerome Obed, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1841555786
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameBROWARD DERMATOLOGY
Location Address500 SE 15TH ST, SUITE #108Fort Lauderdale, FL 33316-1952
Mailing Address500 Se 15th St, Suite #108Fort Lauderdale, FL 33316-1952 · (954) 990-6591
Organization SubpartNo
Authorized OfficialJerome ObedMedical Director · (954) 990-6591
Enumeration DateJuly 6, 2012
Last NPPES UpdateJanuary 29, 2014
NPI 1841555786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in FL · OS9463
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

500 SE 15TH ST, Fort Lauderdale, FL 33316

Other Identifiers 1

OtherOS9463FL · Medical License

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.

Dermatology
500 SE 15TH ST, SUITE 108
FT LAUDERDALE, FL 33316
Dermatology
500 SE 15TH ST, SUITE #108
FORT LAUDERDALE, FL 33316

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 Broward Dermatology's NPI number?

The NPI number for Broward Dermatology is 1841555786. It was assigned to this organization in the NPPES registry on July 6, 2012.

Where is Broward Dermatology located?

Broward Dermatology is located at 500 SE 15th St Suite #108, Fort Lauderdale, FL 33316. The listed phone number is (954) 990-6591.

What is Broward Dermatology's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Broward Dermatology was last updated on January 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.