Healthcare Provider Details

I. General information

NPI: 1336269612
Provider Name (Legal Business Name): DADE DERMATOLOGY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 CORAL WAY SUITE 206
CORAL GABLES FL
33134-4930
US

IV. Provider business mailing address

401 CORAL WAY SUITE 206
CORAL GABLES FL
33134-4930
US

V. Phone/Fax

Practice location:
  • Phone: 305-445-2945
  • Fax: 305-445-7231
Mailing address:
  • Phone: 305-445-2945
  • Fax: 305-445-7231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: VITOR FILIPA WEINMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 305-445-2941