LUMINARY DERMATOLOGY OF MIAMI, LLC – NPI #1114769767
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Health Care Provider Taxonomy Code for Dermatology

LUMINARY DERMATOLOGY OF MIAMI, LLC is a dermatologist located in MIAMI, FL. NPPES has assigned the NPI number 1114769767 to LUMINARY DERMATOLOGY OF MIAMI, LLC on June 12, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUMINARY DERMATOLOGY OF MIAMI, LLC below.

NPI Profile for
LUMINARY DERMATOLOGY OF MIAMI, LLC

NPI Number
1114769767
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LUMINARY DERMATOLOGY OF MIAMI, LLC
Primary location
8740 N KENDALL DR STE 101
MIAMI, FL 33176-2209
Phone: (305) 661-8978 Fax: (941) 296-8501
1 Other location(s):
925 NE 30th Ter Ste 308
Homestead, FL 33033-7614
Phone: (786) 670-9799
Fax: (941) 296-8501
Mailing address
4411 BEE RIDGE RD # 309
SARASOTA, FL 34233-2514
Phone: (941) 926-6553 Fax: (941) 296-8501
Organization Subpart
No
Authorized Official
JESSICA PHILLIPS
CEO
Phone: (941) 926-6553
Updated
Certification Date
Jun 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.