PREMIER DERMATOLOGY, MD, LLC (NPI# 1285039248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285039248 |
Entity Type | Organization |
Organization Name | PREMIER DERMATOLOGY, MD, LLC |
Practice Address |
21097 Ne 27th Ct Ste 500 Aventura FL 33180-1204 |
Mailing Address |
20790 Ne 32nd Ave Aventura FL 33180-3646 |
Practice Telephone | 3059316661 |
Mailing Telephone | 3053355423 |
Enumeration Date | 2014-11-01 |
Last Update Date | 2014-11-01 |
Authorized Official Name | DR. DONNA BILU MARTIN (OWNER) |
Authorized Official Telephone | 3053355423 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME100331 | FL | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578955811 | Premier Dermatology, Md, LLC | Dermatology | 21097 Ne 27th Ct, Suite 500, Aventura, FL 33180-1204 | 2015-02-24 |
Street Address |
21097 NE 27TH CT STE 500 |
City | AVENTURA |
State | FL |
Zip Code | 33180-1204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538162466 | Gary R Donshik | Internal Medicine | 21097 Ne 27th Ct, Suite 320, Aventura, FL 33180-1204 | 2005-05-24 |
1598257503 | Emerald Multispecialty Pa | Family Medicine | 21097 Ne 27th Ct, Aventura, FL 33180-1204 | 2018-06-05 |
1104370394 | Reynier Avon | Nurse Practitioner | 21097 Ne 27th Ct, Suite 480, Aventura, FL 33180-1204 | 2016-08-05 |
1639522519 | Jill Collum | Physical Therapist | 21097 Ne 27th Ct, Suite 540, Aventura, FL 33180-1204 | 2016-07-15 |
1083061220 | Aventura Hospital & Medical Center | Student in an Organized Health Care Education/Training Program | 21097 Ne 27th Ct, Suite 480, Aventura, FL 33180-1204 | 2016-05-18 |
1508230921 | Itzamarie Cintron | Nurse Practitioner | 21097 Ne 27th Ct, Suite 350, Aventura, FL 33180-1204 | 2015-11-23 |
1083082796 | Catalina Galvis | Physician Assistant | 21097 Ne 27th Ct, Suite 540, Aventura, FL 33180-1204 | 2015-09-11 |
1578946075 | Sofia Intriago | Nurse Practitioner | 21097 Ne 27th Ct, Suite 580, Aventura, FL 33180-1204 | 2015-07-01 |
1215320007 | Michael J Braun Md LLC | Internal Medicine | 21097 Ne 27th Ct, Suite 110, Aventura, FL 33180-1204 | 2015-03-18 |
1053704767 | Michael J Braun Md LLC | Internal Medicine | 21097 Ne 27th Ct, Suite 110, Aventura, FL 33180-1204 | 2015-03-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
Find all providers in zip 33180 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376083972 | Paola Casanova, Md, Pllc | Clinic/Center | 3145 Ne 184th St Apt 5303, Aventura, FL 33160-2467 | 2017-03-01 |
1710223805 | Melvyn G Drucker Mdpa | Clinic/Center | 20601 E Dixie Hwy, Suite 330, Aventura, FL 33180-1540 | 2012-12-18 |
1619229226 | David Brown & Associates, Pa | Clinic/Center | 2627 Ne 203rd St, Suite 109, Aventura, FL 33180-1900 | 2012-10-05 |
1548512478 | Adam J. Rubinstein, Md, Pa | Clinic/Center | 19495 Biscayne Blvd, Suite 200/201, Aventura, FL 33180-2318 | 2012-10-02 |
1003103276 | South Florida Surgery and Hand Care LLC | Clinic/Center | 20895 E Dixie Hwy, Aventura, FL 33180-1427 | 2011-07-07 |
1053581926 | D.h. Management, LLC | Clinic/Center | 2601 Point East Dr, Aventura, FL 33160-2669 | 2008-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841809076 | Michelle P Gillespie Do Pa | Clinic/Center | 2330 W Horatio St Ste 200, Tampa, FL 33609-3590 | 2020-07-23 |
1508480864 | Amelia Respiratory and Sleep Medicine LLC | Clinic/Center | 1560 Park Ln, Fernandina Beach, FL 32034-1940 | 2020-06-02 |
1538781364 | Blue Lotus Endocrine Company Inc | Clinic/Center | 1101 E. Cumberland Ave, Ste 201h #128, Tampa, FL 33602-4231 | 2020-05-14 |
1881221075 | Simmons Pediatrics | Clinic/Center | 1771 Edgewood Ave W Ste 1, Jacksonville, FL 32208-7208 | 2020-03-26 |
1891327326 | Curative Care Center | Clinic/Center | 1978 Rockledge Blvd Ste 103, Rockledge, FL 32955-3722 | 2020-02-12 |
1427689975 | Integrity Spine & Orthopedics of Melbourne LLC | Clinic/Center | 1640 Highway A1a Ste C, Satellite Beach, FL 32937-5451 | 2020-02-03 |
1881234102 | Better Health and Rehab | Clinic/Center | 4136 Berkshire Loop, Lakeland, FL 33813-4465 | 2020-01-14 |
1578105573 | Venous Solutions of Florida Inc | Clinic/Center | 506 E Tipton Rd, Plant City, FL 33567-9373 | 2019-10-10 |
1841847597 | Premier Medical Concierge, LLC | Clinic/Center | 9655 Tamiami Trl N Ste 202, Naples, FL 34108-2796 | 2019-08-19 |
1487214342 | Patrick Robinson Md LLC | Clinic/Center | 12630 Curley St Ste 104, San Antonio, FL 33576-8095 | 2019-06-13 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.