Organization
LUMINARY DERMATOLOGY OF MIAMI, LLC
Active
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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