Organization Active NPI

American Mobile Dermatology

  • Specialist
  • Boynton Beach, FL
National Provider Identifier
1780727941
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AMERICAN MOBILE DERMATOLOGY
Practice address
1054 Gateway Blvd
Suite 110
Boynton Beach, FL 33426-8309
Phone
(561) 738-4770
Fax
(561) 738-9727
NPI assigned
Feb 15, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Sandra Noemi Delgado
Title
Office Manager
Phone
(561) 738-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X FL Primary

Addresses

Primary practice location

1054 Gateway Blvd
Suite 110
Boynton Beach, FL 33426-8309

Mailing address

1054 Gateway Blvd
Suite 110
Boynton Beach, FL 33426-8309
Phone (561) 738-4770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780727941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 GATEWAY BLVD",
            "address_2": "SUITE 110",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268309",
            "telephone_number": "561-738-4770",
            "fax_number": "561-738-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 GATEWAY BLVD",
            "address_2": "SUITE 110",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268309",
            "telephone_number": "561-738-4770",
            "fax_number": "561-738-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MOBILE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "NOEMI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "561-738-4770",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.