Healthcare Provider Details

I. General information

NPI: 1982561684
Provider Name (Legal Business Name): PB DERM, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9325 GLADES RD STE 101
BOCA RATON FL
33434-3988
US

IV. Provider business mailing address

9325 GLADES RD STE 101
BOCA RATON FL
33434-3988
US

V. Phone/Fax

Practice location:
  • Phone: 561-973-7546
  • Fax: 561-973-0053
Mailing address:
  • Phone: 561-973-7546
  • Fax: 561-973-0053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ADAM ALDAHAN
Title or Position: OWNER
Credential: MD
Phone: 561-213-3931