Healthcare Provider Details

I. General information

NPI: 1265449003
Provider Name (Legal Business Name): JEFFREY STUART FROMOWITZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 N FEDERAL HWY
BOCA RATON FL
33431-5133
US

IV. Provider business mailing address

4601 N FEDERAL HWY
BOCA RATON FL
33431-5133
US

V. Phone/Fax

Practice location:
  • Phone: 561-362-8000
  • Fax: 561-447-6806
Mailing address:
  • Phone: 561-362-8000
  • Fax: 561-447-6806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberME91731
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License NumberME91731
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License NumberME91731
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberME91731
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: