Organization Active NPI

Las Olas Dermatology Inc

  • Dermatology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1891352225
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LAS OLAS DERMATOLOGY INC
Practice address
800 E Broward Blvd Ste 507
Fort Lauderdale, FL 33301-2034
Phone
(954) 763-4331
Fax
(954) 763-4775
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Authorized official

Name
Tony Nakhla, DO
Title
Owner
Phone
(954) 763-4331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

800 E Broward Blvd Ste 507
Fort Lauderdale, FL 33301-2034

Mailing address

800 E Broward Blvd Ste 507
Fort Lauderdale, FL 33301-2034
Phone (954) 763-4331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1891352225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E BROWARD BLVD STE 507",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012034",
            "telephone_number": "954-763-4331",
            "fax_number": "954-763-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E BROWARD BLVD STE 507",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012034",
            "telephone_number": "954-763-4331",
            "fax_number": "954-763-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS OLAS DERMATOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "NAKHLA",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-763-4331",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.