Christos Skin Cancer & Mohs Clinic LLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

CHRISTOS SKIN CANCER & MOHS CLINIC LLC

Practice address

4300 N University Dr Ste C100
Lauderhill, FL 33351-6243

Phone

(954) 682-9329

Fax

(954) 541-2739

NPI assigned

Apr 5, 2018

Last updated

Nov 28, 2024By 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

Christopher SmithNPI 1366681892

Title

Manager

Phone

(954) 682-9329

Specialties & licenses 1

Addresses

Locations

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.

• Christopher Jacob Smith, D.O

  • Dermatology Physician
  • Lauderhill, FL
  • NPI 1366681892
  NPD (past) Authorized official

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732752000000",
    "number": "1801392923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR STE C100",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333516243",
            "telephone_number": "954-682-9329",
            "fax_number": "954-541-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR STE C100",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333516243",
            "telephone_number": "954-682-9329",
            "fax_number": "954-541-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOS SKIN CANCER & MOHS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-682-9329"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia Chocho
• Chriscavel Corporation (First Start Healthcare Solutions)
• Chriscavel Corporation (First Start Screening & Lab Services)
• Kalillah Christie
• Christos Care Medical Corp
• Chrysalis Center Inc (Chrysalis Health)
• Lisa Cimorelli
• City of Lauderhill
• CK2 Enterprise Logistics LLC
• Cara Claar-Reaser, LMT

• Procedural Dermatology Physician in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Procedural Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; 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.