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DERMATOLOGY CONSULTANTS PA
NPI 1689815904
Dermatology in Miramar, FL

Active since March 17, 2009CLIA Certified · 2 labs
12600 PEMBROKE RD STE 310, MIRAMAR, FL 33027(954) 431-7681(954) 431-7682 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2020, Mar 17, 2018, Aug 30, 2017 (3 updates tracked since 2017).

About Dermatology Consultants Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY CONSULTANTS PA (NPI 1689815904) is a healthcare organization registered as a dermatology in Miramar, Florida and active in the NPI registry since March 2009. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Hialeah, and lists Jose E Mendez, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1689815904
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY CONSULTANTS PA
Location Address12600 PEMBROKE RD STE 310Miramar, FL 33027-2544
Mailing Address12600 Pembroke Rd Ste 310Miramar, FL 33027-2544 · (954) 431-7681 · Fax (954) 431-7682
Phone(954) 431-7681
Fax(954) 431-7682
Organization SubpartNo
Authorized OfficialJose E MendezPractice Owner · (954) 431-7681
Enumeration DateMarch 17, 2009
Last NPPES UpdateNovember 23, 20203 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1689815904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
12600 PEMBROKE RD STE 310, Miramar, FL 33027
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Secondary Practice Location 1

Location 17150 W 20th Ave Ste 210Hialeah, FL 33016-5531 · Phone (305) 828-7504 · Fax (305) 828-7506

Other Identifiers 1

Medicaid022844800FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D1100590

Dermatology Consultants PA · Miramar, FL
Active · expires Sep 17, 2027
CLIA Number10D1100590
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorDr. Jose E. Mendez
Laboratory Phone(954) 431-7681
Laboratory LocationDermatology Consultants PA12600 Pembroke Rd Suite 310, Miramar, FL 33027
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2016917

Dermatology Consultants PA · Hialeah, FL
Active · expires Mar 13, 2027
CLIA Number10D2016917
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorDr. Jose E. Mendez
Laboratory Phone(305) 828-7504
Laboratory LocationDermatology Consultants PA7150 W 20th Avenue Ste #210, Hialeah, FL 33016
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKIE MARIE RUSSO NP
Nurse Practitioner
12600 PEMBROKE RD STE 310
MIRAMAR, FL 33027
Broward County (954) 431-7681
JESSICA MARIN
Nurse Practitioner
12600 PEMBROKE RD STE 310
MIRAMAR, FL 33027
Broward County (954) 431-7681
SINDHU JAYARAM PA
Physician Assistant
12600 PEMBROKE RD STE 310
MIRAMAR, FL 33027
Broward County (954) 431-7681
THE DERM GROUP LLP
Dermatology
12600 PEMBROKE RD STE 310
MIRAMAR, FL 33027
Broward County (954) 431-7681

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Consultants PA's NPI number?

The NPI number for Dermatology Consultants PA is 1689815904. It was assigned to this organization in the NPPES registry on March 17, 2009.

Where is Dermatology Consultants PA located?

Dermatology Consultants PA is located at 12600 Pembroke Rd Ste 310, Miramar, FL 33027. The listed phone number is (954) 431-7681.

What is Dermatology Consultants PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Dermatology Consultants PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Dermatology Consultants PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Molina Healthcare list Dermatology Consultants PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology Consultants PA was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.