OrganizationActive
Mobilederm, Inc.
NPI 1003063405 · Dermatology Physician · Davie, FL
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.