Moum Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME0058720 Issued in FL

Legal business name

MOUM DERMATOLOGY LLC

Practice address

445 S Federal Hwy
Boca Raton, FL 33432-6027

Phone

(561) 395-8701

Fax

(561) 367-9338

NPI assigned

May 14, 2013

Last updated

May 14, 2013By 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. Eric Ee Moum, M.D.NPI 1689789802

Title

President

Phone

(561) 395-8701

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Ee Moum, MD

  • Dermatology Physician
  • Boynton Beach, FL
  • NPI 1689789802
  NPD (past) Authorized official

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1649616970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 S FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326027",
            "telephone_number": "561-395-8701",
            "fax_number": "561-367-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326027",
            "telephone_number": "561-395-8701",
            "fax_number": "561-367-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUM DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "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": "561-395-8701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0058720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Crowley Motta, M.D.
• Christine Mouassite
• Sasson E Moulavi, M.D.
• Elizabeth Ruth-Anne Moulton, PSY.S
• Moum & Nielsen PA (Dernatology Associates)
• Mounir Albert D.D.S. PA
• Mounir Albert DDS PA
• Move to Learn Group
• Ana Maria Moyano
• MPB Sports and Rehabilitation Inc

• Dermatology Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.