NPI 1669622452 · live from the CMS NPI Registry
Aventura Dermatology & Cosmetic Center
Dermatology in Aventura, FL. National Provider Identifier 1669622452, active.
NPI record
| NPI | 1669622452 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 21097 Ne 27th Ct, Suite 500, Aventura, FL 33180 |
| Practice phone | 305-931-6661 |
| Enumerated | September 29, 2008 |
| Last updated | September 29, 2008 |
| Authorized official | Jason Green, Owner / President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.