Organization
AVENTURA DERMATOLOGY & COSMETIC CENTER
Active
Organization
AVENTURA DERMATOLOGY & COSMETIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GREEN DO (OWNER / PRESIDENT)
(305) 931-6661
Entity
Organization
Contact information
Practice address
21097 NE 27TH CT, SUITE 500, AVENTURA, FL 33180-1204
(305) 931-6661
(305) 937-1733
Mailing address
21097 NE 27TH CT, SUITE 500, AVENTURA, FL 33180-1204
(305) 931-6661
(305) 937-1733
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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