Advanced Dermatology and Cosmetic Surgery – Dermatology Physician, NPI 1407014996

Advanced Dermatology and Cosmetic Surgery is a healthcare provider. based in North miami beach, Florida. specializing in Dermatology Physician. The NPI Number for Advanced Dermatology and Cosmetic Surgery is 1407014996

Main info

Organization
Name
Advanced Dermatology and Cosmetic Surgery
NPI
1407014996
Phone
(305) 652-8600
Address
16100 NE 16TH AVE
Authorized Official
AMY DECLUE DIRECTOR, PROVIDER SERVICES
Enumeration Date
30 May 2008
Last Update Date
20 November 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Advanced Dermatology and Cosmetic Surgery

  • 16100, Northeast 16th Avenue, North Miami Beach, Miami-Dade County, Florida, 33162, United States

    NORTH MIAMI BEACH, FL 331624708

    Phone: (305) 652-8600

    Fax: (305) 652-3139

    Type: Location

  • 151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States

    STE 300

    MAITLAND, FL 327517176

    Phone: (407) 875-2080

    Fax: (407) 650-3455

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33162)

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Frequently asked questions

Can I verify Advanced Dermatology and Cosmetic Surgery with an NPI only?
You can start verification with NPI 1407014996 for Advanced Dermatology and Cosmetic Surgery, then check state licensing separately.
Is Advanced Dermatology and Cosmetic Surgery listed as active for patients and plans?
The listing shows Advanced Dermatology and Cosmetic Surgery as active in the NPI system.
What is Advanced Dermatology and Cosmetic Surgery's primary classification?
Dermatology Physician is the headline specialty for Advanced Dermatology and Cosmetic Surgery here. Clinical services aligned with this taxonomy classification.
Where is Advanced Dermatology and Cosmetic Surgery based?
Advanced Dermatology and Cosmetic Surgery is tied to North Miami Beach, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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