Active NPI
Integrated Dermatology of Sunset Drive, LLC
- Dermatology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- INTEGRATED DERMATOLOGY OF SUNSET DRIVE, LLC
- Practice address
- 7800 SW 87TH Ave Ste B200
Miami, FL 33173-3570 - Phone
- (305) 279-6012
- Fax
- (305) 279-7709
- NPI assigned
- Sep 3, 2021
- 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
- Anna Maria Miller
- Title
- Director of Credentialing
- Phone
- (561) 948-0291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
7800 SW 87TH Ave Ste B200
Miami, FL 33173-3570
Mailing address
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 948-0291
Other practice location 1
15495 Eagle Nest Ln Ste 270
Miami Lakes, FL 33014-2267
Phone (305) 279-6012
Other names 1
- Dermatology of Miami
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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 |
|---|---|---|---|
| 10D1107185 | Miami Dermatology and Laser Institute | Compliance | Jul 14, 2026 |
| 10D2314249 | Integrated Dermatology of Sunset Drive LLC | Provider-performed microscopy | Nov 14, 2026 |
| 10D2314325 | Integrated Dermatology of Sunset Drive LLC | Provider-performed microscopy | Nov 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
15495 Eagle Nest Ln
Ste 270
Miami Lakes, FL 33014
Phone (305) 279-6012
6175 NW 153rd St
Ste 320
Miami Lakes, FL 33014
Phone (305) 364-0220
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Miami, FL
- NPI 1881199586
-
- Adult Health Nurse Practitioner
- Miami, FL
- NPI 1962749291
-
- Physician Assistant
- Miami, FL
- NPI 1710569082
-
- Dermatology Physician
- Boca Raton, FL
- NPI 1265449003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1689342602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 EXCHANGE CT STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314450",
"telephone_number": "561-948-0291",
"fax_number": "561-859-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 SW 87TH AVE STE B200",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733570",
"telephone_number": "305-279-6012",
"fax_number": "305-279-7709"
}
],
"practiceLocations": [
{
"address_1": "15495 Eagle Nest Ln Ste 270",
"address_purpose": "LOCATION",
"city": "Miami Lakes",
"state": "FL",
"postal_code": "330142267",
"country_code": "US",
"telephone_number": "305-279-6012",
"fax_number": "306-279-7709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INTEGRATED DERMATOLOGY OF SUNSET DRIVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-03",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "ANNA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "561-948-0291"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dermatology of Miami",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
- Integrated Children'S Therapy
- Integrated Community Support, LLC
- Integrated Comprehensive Urgent Care LLC
- Integrated Comprehensive Urgent Care, LLC.
- Integrated Dermatology of South Miami LLC
- Integrated Diagnostic of South Florida Inc
- Integrated Health Medical Center of Bird Road
- Integrated Health Services LLC
- Integrated Healthcare Services LLC
- Integrated Healthcare Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.