Organization
LUMINARY DERMATOLOGY OF MIAMI, LLC
Active
Other names
Luminary Dermatology, PA
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PHILLIPS (CEO)
(941) 926-6553
Entity
Organization
Contact information
Practice address
8740 N KENDALL DR STE 101, MIAMI, FL 33176-2209
(305) 661-8978
(941) 296-8501
Mailing address
4411 BEE RIDGE RD # 309, SARASOTA, FL 34233-2514
(941) 926-6553
(941) 296-8501
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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