Moum Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0058720 Issued in FL

Legal business name

MOUM DERMATOLOGY LLC

Practice address

2800 S Seacrest Blvd
Ste 280
Boynton Beach, FL 33435-7960

Phone

(561) 735-4300

Fax

(561) 735-4500

NPI assigned

May 13, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eric Ee Moum

Title

President

Phone

(561) 735-4300

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575849600000",
    "number": "1023454535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD",
            "address_2": "STE 280",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357960",
            "telephone_number": "561-735-4300",
            "fax_number": "561-735-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD",
            "address_2": "STE 280",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357960",
            "telephone_number": "561-735-4300",
            "fax_number": "561-735-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUM DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A",
        "authorized_official_last_name": "MOUM",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "EE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-735-4300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0058720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Russell Mote, DC
• Youssef Motii, PHD, PA-C
• Veronica R Motiram, MD
• Matthew Motisi, D.O.
• Moum & Nielsen PA
• Eric Ee Moum, MD
• Deborah Roberts Mouw, IMH
• Moving Forward Therapies Inc
• MQM Medical Services LLC
• MRI Radiology Network PA

• Dermatology Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.