| Dr Shoshana Blumenthal, MD | |
|
1295 Nw 14th St, Miami, FL 33125-1610 | |
| (305) 243-6704 | |
| (569) 742-2598 |
| Full Name | Dr Shoshana Blumenthal |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 1295 Nw 14th St, Miami, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982165965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 162452 (Florida) | Secondary |
| 207N00000X | Dermatology | ME162452 (Florida) | Primary |
| Entity Name | Luminary Dermatology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851955983 PECOS PAC ID: 8628301835 Enrollment ID: O20190603002014 |
| Entity Name | Luminary Dermatology Of Miami Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114769767 PECOS PAC ID: 8527597814 Enrollment ID: O20250131001444 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shoshana Blumenthal, MD 1295 Nw 14th St, Miami, FL 33125-1610 Ph: (305) 243-6704 | Dr Shoshana Blumenthal, MD 1295 Nw 14th St, Miami, FL 33125-1610 Ph: (305) 243-6704 |
Anthony T Hasan, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 8501 Sw 124th Ave Ste 112, Miami, FL 33183 Phone: 305-273-6001 | |
Dr. Evan H Schlam, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1475 Nw 12th Ave, Box 016960, Miami, FL 33136 Phone: 305-243-7688 Fax: 305-243-8470 | |
Dr. Scott Elman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1150 Nw 14th St Fl 2, Miami, FL 33136 Phone: 305-243-6704 | |
Dr. Paolo Romanelli, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1475 Nw 12th Ave, Miami, FL 33136 Phone: 305-243-8693 Fax: 305-243-8470 | |
Dr. Phyllis Skolnik, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8740 N Kendall Dr Ste 101, Miami, FL 33176 Phone: 305-661-8978 Fax: 305-661-0193 | |
Dr. Michael Raisch, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-2000 | |
Annie Gonzalez, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7875 Sw 104th St Ste 203, Miami, FL 33156 Phone: 877-443-9337 |