OrganizationActive
Dermatology and Cosmetic Center, P.A.
NPI 1932304888 · MOHS-Micrographic Surgery Physician · Fort Lauderdale, FL
Provider details
- NPI number
- 1932304888
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kerry Zimmer, Office Manager(954) 772-0416
- License
- OS8871 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
5353 N Federal Hwy Ste 400
Fort Lauderdale, FL 33308-3244
Phone: (954) 489-9800
Street-level locationGet directions
Mailing address
5353 N Federal Hwy Ste 400
Fort Lauderdale, FL 33308-3244
Other names (DBA / former)
- Doing business as
- Eastside Dermatology, P.A.
Registry dates
- Enumerated
- 2007-06-20
- Last updated
- 2013-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.