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Export Provider Record NPI 1134463094
Dr. Andy Green Dermatology
Organization Subpart: NO
Active
NPI Number1134463094
NPI TypeNPI-2 Organization
SpecialtyDermatology
Provider Details
NPI1134463094
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2012-11-16
Last Updated2012-11-16
Authorized OfficialAndy Green
Dermatologist
Phone: 3059324192
Mailing Address1380 Ne Miami Gardens Dr Ste 270
North Miami Beach, FL 33179-4721
United States
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Primary Practice Address1380 Ne Miami Gardens Dr Ste 270
North Miami Beach, FL 33179-4721
United States
Phone: (305) 940-0701
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207N00000X – Dermatology--
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About NPI 1134463094

Dr. Andy Green Dermatology is an organization registered in the CMS NPPES NPI Registry with NPI number 1134463094. The primary specialty listed is Dermatology. The organization is located in North Miami Beach, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-11-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1134463094?

NPI 1134463094 belongs to Dr. Andy Green Dermatology, a Dermatology in North Miami Beach, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1134463094 active?

The current status of NPI 1134463094 in the NPPES registry is Active. The record was last updated on 2012-11-16.

What specialty is NPI 1134463094?

NPI 1134463094 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1134463094?

You can verify NPI 1134463094 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1134463094?

The primary practice address on file for NPI 1134463094 is 1380 Ne Miami Gardens Dr Ste 270, North Miami Beach, FL 33179-4721. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1134463094 issued?

NPI 1134463094 was first issued (enumerated) on 2012-11-16. The NPPES record was last updated on 2012-11-16.

Practice Location Map

Dr. Andy Green Dermatology is located at 1380 Ne Miami Gardens Dr Ste 270, North Miami Beach, FL. Use the map below to find directions or verify the practice location.

📍 1380 Ne Miami Gardens Dr Ste 270, North Miami Beach, FL 33179-4721  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Dr. Andy Green Dermatology. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162