Active NPI
Khari Bridges, MD LLC
Doing business as Miami Dermatology and Cosmetics
- Dermatology Physician
- Miami, FL
National Provider Identifier
1619302643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME99204
- Legal business name
- KHARI BRIDGES, MD LLC
- Doing business as
- Miami Dermatology and Cosmetics
- Practice address
- 8950 SW 74TH CT
Suite 1413
Miami, FL 33156-3171 - Phone
- (305) 670-0146
- Fax
- (305) 670-8943
- NPI assigned
- Sep 10, 2013
- Last updated
- Sep 10, 2013
- 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
- Ana Guzman
- Title
- Office Manager
- Phone
- (305) 670-0146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME99204 | FL | Primary |
Addresses
Primary practice location
8950 SW 74TH CT
Suite 1413
Miami, FL 33156-3171
Mailing address
8950 SW 74TH CT
Suite 1413
Miami, FL 33156-3171
Phone (305) 670-0146
Other names 1
- Miami Dermatology and Cosmetics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0282333 | Miami Dermatology and Cosmetics Prime LLC | Compliance | May 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
8950 SW 74th Ct
Ste 1413
Miami, FL 33156
Phone (305) 670-0146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378771200000",
"number": "1619302643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 SW 74TH CT",
"address_2": "SUITE 1413",
"city": "MIAMI",
"state": "FL",
"postal_code": "331563171",
"telephone_number": "305-670-0146",
"fax_number": "305-670-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8950 SW 74TH CT",
"address_2": "SUITE 1413",
"city": "MIAMI",
"state": "FL",
"postal_code": "331563171",
"telephone_number": "305-670-0146",
"fax_number": "305-670-8943"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHARI BRIDGES, MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A",
"authorized_official_last_name": "GUZMAN",
"authorized_official_first_name": "ANA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "305-670-0146"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME99204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Miami Dermatology and Cosmetics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.