OrganizationActive
Mobilederm, Inc.
NPI 1003063405 · Dermatology Physician · Davie, FL
Mobilederm, Inc. is a Dermatology Physician organization in Davie, FL (NPI 1003063405).
Provider details
- NPI number
- 1003063405
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Declue, Director, Provider Services(407) 875-2080
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3200 S University Dr
Davie, FL 33328-2018
Phone: (954) 970-5824
Street-level locationGet directions
Mailing address
19230 Ne 20th Ct
North Miami Beach, FL 33179-4369
Registry dates
- Enumerated
- 2008-08-27
- Last updated
- 2008-09-10
Frequently asked questions
- What is Mobilederm, Inc.'s NPI number?
- Mobilederm, Inc.'s National Provider Identifier (NPI) is 1003063405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mobilederm, Inc.?
- Mobilederm, Inc. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mobilederm, Inc. located?
- Mobilederm, Inc.'s practice location on file with NPPES is 3200 S University Dr, Davie, FL 33328-2018.
- What is Mobilederm, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mobilederm, Inc. is (954) 970-5824.
- Who is the authorized official for Mobilederm, Inc.?
- The authorized official listed on Mobilederm, Inc.'s NPPES record is Amy Declue, Director, Provider Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mobilederm, Inc.'s NPI active?
- Yes — Mobilederm, Inc.'s NPI (1003063405) is active in the NPPES registry as of the last update on 2008-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.