Organization
PREMIER DERMATOLOGY, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA BILU MARTIN MD (OWNER)
(305) 335-5423
Entity
Organization
Contact information
Practice address
21097 NE 27TH CT, STE 500, AVENTURA, FL 33180-1204
(305) 931-6661
Mailing address
20790 NE 32ND AVE, AVENTURA, FL 33180-3646
(305) 335-5423
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME100331
FL
Other
Enumeration date
11/01/2014
Last updated
11/01/2014
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