Organization Active NPI

Hollywood Dermatology and Cosmetic Surgery Specialists PLLC

  • Specialist
  • Hollywood, FL
National Provider Identifier
1285834416
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME75865 Issued in FL
Legal business name
HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS PLLC
Practice address
3850 Hollywood Blvd Ste 301
Hollywood, FL 33021-6745
Phone
(954) 961-1200
Fax
(954) 963-0378
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Mrs. Amber Byrd
Title
Practice Administrator
Phone
(954) 961-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME75865 FL Primary

Addresses

Primary practice location

3850 Hollywood Blvd Ste 301
Hollywood, FL 33021-6745

Mailing address

3850 Hollywood Blvd Ste 301
Hollywood, FL 33021-6745
Phone (954) 961-1200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abyrd@dermcaremgt.com Direct

National Provider Directory

National Provider Directory

Locations

1250 E Hallandale Beach Blvd
Ph 1
Hallandale Beach, FL 33009

1250 E Hallandale Beach Blvd
#10
Hallandale Beach, FL 33009

3661 S Miami Ave
Ste 105
Miami, FL 33133
Phone (305) 856-7887

3000 SW 148th Ave
Ste 250
Miramar, FL 33027
Phone (954) 843-9443

17170 Royal Palm Blvd
Weston, FL 33326
Phone (954) 349-3376

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00151

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1285834416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HOLLYWOOD BLVD STE 301",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216745",
            "telephone_number": "954-961-1200",
            "fax_number": "954-963-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HOLLYWOOD BLVD STE 301",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216745",
            "telephone_number": "954-961-1200",
            "fax_number": "954-963-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD DERMATOLOGY AND COSMETIC SURGERY SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "954-961-1200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME75865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abyrd@dermcaremgt.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct email",
            "address_1": "3850 Hollywood Blvd Ste 301",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330216745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.