Southernmost Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME48734 Issued in FL

Legal business name

SOUTHERNMOST DERMATOLOGY LLC

Practice address

1411 White St
Key West, FL 33040-4813

Phone

(305) 294-5400

Fax

(305) 294-5415

NPI assigned

Nov 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Evans Berman, MD

Title

Owner Doctor

Phone

(305) 294-5400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Christine Balestra, PA-C

  • Physician Assistant
  • Key West, FL
  • NPI 1477884203
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1497937791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 WHITE ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404813",
            "telephone_number": "305-294-5400",
            "fax_number": "305-294-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 WHITE ST",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404813",
            "telephone_number": "305-294-5400",
            "fax_number": "305-294-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNMOST DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "305-294-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME48734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Sommers
• Alexandrea Noel Sorrentino, M.S., N.C.C
• Pamela K Soucy, LMHC
• Southern Home Health at KWCC Inc
• Southernmost Anesthesia Solutions LLC
• Southernmost Emergency Physicians LLC
• Southernmost Foot and Ankle Specialists
• Southernmost Medical Supply Inc.
• Southernmost Medical Transport
• Southernmost Smiles, PA

• Dermatology Physician in Key West, FL
• Providers in Key West, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.