Dermasurgeons PA
Dermatology, MOHS-Micrographic Surgery in Miramar, FL. Organization (NPI-2).
NPI number1699007484
StatusActive
Last updated in NPPESFeb 4, 2010
Details
- NPI
- 1699007484
- Entity type
- Organization (NPI-2)
- Legal business name
- Dermasurgeons PA
- Organization subpart
- No
- Enumeration date
- Feb 4, 2010
- Last updated
- Feb 4, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – | Yes |
| 207N00000X | Dermatology | – | – |
Practice location
12600 Pembroke RoadSuite 100
Miramar, FL 33027
Phone 954-431-7681 · Fax 954-431-7682
Mailing address
12600 Pembroke RoadSuite 100
Miramar, FL 33027
Phone 954-431-7681 · Fax 954-431-7682
Authorized official
Jose E Mendez
President
9544317681
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