Florida Academic Dermatology Centers Llc

Specialty details in registry · Miami, FL

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At a glance

1400 Nw 12Th Ave, Miami, FL 33136-1003

NPPES record updated Jun 21, 2018. Public records can lag behind changes at a practice.

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Practice location

1400 Nw 12Th Ave Suite 4
Miami, FL 33136-1003

Professional details: NPI, taxonomy & registry record

NPI1275649220

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 174400000X
Enumeration date: Aug 22, 2006
Record updated: Jun 21, 2018

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

174400000X · Primary

License reported: ME50029 FL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1400 Nw 12Th Ave
Suite 4
Miami, FL 33136-1003

Phone: (305) 324-2110

Mailing address

1400 NW 12TH AVE
SUITE 4
MIAMI, FL 331361003

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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