South Kendall Dermatology Associates

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SOUTH KENDALL DERMATOLOGY ASSOCIATES

Practice address

12600 SW 120TH Street
Suite 113
Miami, FL 33186-9066

Phone

(305) 971-1210

Fax

(305) 971-7710

NPI assigned

Dec 15, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Vitor F Weinman, MD

Title

Medical Director

Phone

(305) 971-1210

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1669617924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 SW 120TH STREET",
            "address_2": "SUITE 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331869066",
            "telephone_number": "305-971-1210",
            "fax_number": "305-971-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 SW 120TH STREET",
            "address_2": "SUITE 113",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331869066",
            "telephone_number": "305-971-1210",
            "fax_number": "305-971-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH KENDALL DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "WEINMAN",
        "authorized_official_first_name": "VITOR",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-971-1210",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME14345",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South General
• South Health Care Inc
• South Health SF
• South Kendall Dentistry, PA
• South Kendall Dermatology
• South Kendall Home Care, LLC
• South Kendall Medical Services, Inc
• South Labs LLC
• South Med Supplies Corp
• South Medical Care Inc

• Dermatology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.