Individual provider Active NPI

George Demetrios Glinos, MD

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1881199586
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME155642 Issued in FL
Practice address
7800 SW 87TH Ave Ste B200
Miami, FL 33173-3570
Phone
(305) 279-6012
Fax
(305) 279-7709
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME155642 FL 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 27
Miami Lakes, FL 33014-2266
Phone (305) 557-6719

Other identifiers 1

IdentifierTypeStateIssuer
115617300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708001782 FL Practitioner - Dermatology 4385024207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Dermatology of Sunset Drive, LLCGroup PAC ID 2264830512, 4 clinicians

Practice addresses (Care Compare)

10300 SW 72ND St
Suite 150
Miami, FL 33173-3001
Phone (305) 279-6012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Removal of skin lesions786
Removal or shaving of skin growth1-10
Skin biopsy159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME155642FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Dermatology of Sunset Drive, LLC Dermatology CurrentSince Apr 1, 2024 Accepting new patients

Locations

4700 Exchange Ct
Ste 110
Boca Raton, FL 33431
Phone (561) 223-8081

10300 Sunset Dr
Ste 150
Miami, FL 33173
Phone (305) 279-6012

15495 Eagle Nest Ln
Ste 270
Miami Lakes, FL 33014
Phone (305) 279-6012

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1881199586",
    "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 27",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142266",
            "country_code": "US",
            "telephone_number": "305-557-6719",
            "fax_number": "305-967-8071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLINOS",
        "first_name": "GEORGE",
        "middle_name": "DEMETRIOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME155642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115617300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.