Derma Laser Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DERMA LASER CENTER LLC

Doing business as

HPE Medical

Practice address

701 W Hallandale Beach Blvd # 104-105
Hallandale Beach, FL 33009-5327

Phone

(954) 367-7073

Fax

(954) 367-7075

NPI assigned

Aug 24, 2016

Last updated

Aug 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nader Shehata, M.D.

Title

Owner

Phone

(305) 606-8831

Specialties & licenses 3

Addresses

Other names 1

• HPE Medical Doing business as

Locations

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1457806937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W HALLANDALE BEACH BLVD # 104-105",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095327",
            "telephone_number": "954-367-7073",
            "fax_number": "954-367-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W HALLANDALE BEACH BLVD # 104-105",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095327",
            "telephone_number": "954-367-7073",
            "fax_number": "954-367-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMA LASER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "SHEHATA",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-606-8831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HPE Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ernesto Delgado, ARNP
• Denise a. Vazquez, Psy.D., P.a.
• Denta Logic Group LLC
• Alexandro Evans Deoliveira
• Delilah Maira Depena
• Dermatology and Cosmetics Institute LLC
• Dermatology Boutique PA
• Dermatology Group of Florida PA
• Jonias Destine, PA-C
• Amanda Diab El Harakeh

• General Practice Physician in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.