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Organization

DR. ANDY GREEN DERMATOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDY GREEN M.D. (DERMATOLOGIST)
(305) 932-4192
Entity
Organization

Contact information

Practice address
1380 NE MIAMI GARDENS DR STE 270, NORTH MIAMI BEACH, FL 33179-4721
(305) 940-0701
Mailing address
1380 NE MIAMI GARDENS DR STE 270, NORTH MIAMI BEACH, FL 33179-4721

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
11/16/2012
Last updated
11/16/2012
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