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General NPI Number Information
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NPI Number | 1891430336
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Entity Type | Organization
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Legal Business Name | MIAMI DERMATOLOGY AND MOHS SURGERY, PLLC
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Dates
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Enumeration Date | 04/29/2022
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 4770 BISCAYNE BLVD STE 900
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City | MIAMI
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State | FL
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Zip | 33137-3232
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Country | US
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Telephone | 305-404-3376
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Fax | 305-404-6367
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Provider Business Mailing Address
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Address Line | 4770 BISCAYNE BLVD STE 900
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City | MIAMI
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State | FL
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Zip | 33137-3232
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Country | US
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Telephone | 305-404-3376
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Fax | 305-404-6367
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Authorized Official
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Title or Position | OWNER
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Name | MIESHA MERATI
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Credential | DO
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Telephone | 305-404-3376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207NS0135X
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Taxonomy Name | Procedural Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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