Active NPI
Integrated Dermatology of Coral Gables, LLC
- Dermatology Physician
- Coral Gables, FL
National Provider Identifier
1285012146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- INTEGRATED DERMATOLOGY OF CORAL GABLES, LLC
- Practice address
- 475 Biltmore Way
Suite 308
Coral Gables, FL 33134 - Phone
- (305) 443-2994
- Fax
- (305) 271-3206
- NPI assigned
- May 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam S. Plotkin, MD
- Title
- Authorized Official
- Phone
- (561) 314-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
475 Biltmore Way
Suite 308
Coral Gables, FL 33134
Mailing address
902 Clint Moore Rd
Suite 226
Boca Raton, FL 33487-2800
Phone (561) 314-2000
National Provider Directory
National Provider DirectoryLocations
902 Clint Moore Rd
Ste 100
Boca Raton, FL 33487
3683 S Miami Ave
Ste 200
Miami, FL 33133
Phone (305) 279-6060
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Miami, FL
- NPI 1275899569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491177600000",
"number": "1285012146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 CLINT MOORE RD",
"address_2": "SUITE 226",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334872800",
"telephone_number": "561-314-2000",
"fax_number": "561-431-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 BILTMORE WAY",
"address_2": "SUITE 308",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "33134",
"telephone_number": "305-443-2994",
"fax_number": "305-271-3206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED DERMATOLOGY OF CORAL GABLES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-12",
"last_updated": "2017-04-03",
"status": "A",
"authorized_official_last_name": "PLOTKIN",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "561-314-2000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Jamie Lynn Innis, PA
- Inpatient Care Services LLC
- Insight 4 Success, Inc.
- Instituto Medico del Dolor LLC
- Integrative Health Care Institute LLC
- Integrative Health Care Institute, LLC
- Integro Fertility LLC
- Interamerican Medical Center Group, LLC
- Intermas USA Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.