Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lauderdale Dermatology PA

Organization Dermatology Physician · NPI 1750474615

Lauderdale Dermatology PA is a Dermatology Physician in Ft Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4610 N Federal Hwy
Ft Lauderdale, FL 33308
Phone: (954) 771-0582
Fax: (954) 771-6465
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME0068188 (FL)

Record details

NPI number1750474615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Perez — President · (954) 771-0582
NPI enumeratedOctober 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4610 North Federal Highway, Ft Lauderdale, FL 33308

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