Integrated Dermatology of South Miami LLC
NPI 1265661219ActiveOrganization· Dermatology· Miami, FL
Dermatology in Miami, Florida, registered in NPPES in July 2009. The authorized official on file is Andrew Queen, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265661219 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2009 |
| Last updated in NPPES | Feb 1, 2024 |
| Certified by provider | Feb 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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