FLORIDA ACADEMIC DERMATOLOGY CENTERS LLC
NPI 1275649220
Specialist in Miami, FL
NPI Status: Active since August 22, 2006
Contact Information
1400 NW 12TH AVE
SUITE 4
MIAMI, FL
ZIP 33136
Phone: (305) 324-2110
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 10D2089805
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-07-2027
About FLORIDA ACADEMIC DERMATOLOGY CENTERS LLC
This page provides the complete NPI Profile along with additional information for Florida Academic Dermatology Centers Llc, a provider established in Miami, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1275649220 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X with license number ME50029 (FL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Francisco A Kerdel M.d. (Owner)
- NPI
- 1275649220
- Provider Name
- FLORIDA ACADEMIC DERMATOLOGY CENTERS LLC
- Entity Type
- Organization
- Location Address
- 1400 NW 12TH AVE SUITE 4 MIAMI, FL 33136
- Location Phone
- (305) 324-2110
- Mailing Address
- 1400 NW 12TH AVE SUITE 4 MIAMI, FL 33136
- Mailing Phone
- (305) 324-2110
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-22-2006
- Last Update Date
- 06-21-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- ME50029
- License State
- FL
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
- AvMed Entrust Silver 550 (2025) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
- AvMed Entrust Silver Standard (2025) - HMO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ========= | OTHER (01) | FL | TAX ID |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2089805
- Facility Type
- Physician Office
- Certificate Effective Date
- January 08, 2025
- Certificate Expiration Date
- January 07, 2027
- Laboratory Director
- CHRISTINA KERDEL DON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Florida Academic Dermatology Centers Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for FLORIDA ACADEMIC DERMATOLOGY CENTERS LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 6 | 4 | 9 | 2 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 12 | 4 | 18 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 2 + 4 + 1 + 8 + 2 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1275649220 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659358778 | JOSE F ANGEL M.D. Individual | Anesthesiology | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 325-5416 |
| 1013994177 | ALEXANDER FREYTAG M.D. Individual | Anesthesiology | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 325-5416 |
| 1376520494 | JUAN HADDAD M.D. Individual | Anesthesiology | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 325-5416 |
| 1700863834 | SANTIAGO LUIS M.D. Individual | Anesthesiology | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 325-5416 |
| 1588642375 | JOSE BENGOCHEA M.D. Individual | Anesthesiology | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 325-5416 |
| 1275511073 | LOURDES ACOSTA M.D. Individual | Anesthesiology | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 325-5416 |
| 1417935230 | GUILLERMO TABLADA M.D. Individual | Anesthesiology | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 325-5416 |
| 1952361941 | WENDY WHITTICK MD Individual | Radiology (Body Imaging) | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 325-3989 |
| 1487602777 | DR. DAVID M SEO MD Individual | Internal Medicine (Cardiovascular Disease) | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 325-5511 |
| 1336199397 | SENG FOOK LAM CRNA Individual | Nurse Anesthetist, Certified Registered | 1400 NW 12TH AVE ANESTHESIA DEPT MIAMI, FL 33136 (305) 325-5416 |
| 1386695880 | DR. JASWINDER SINGH SANDHU M.D. Individual | Emergency Medicine | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 547-6468 |
| 1033161526 | ALEX PAGE M.D. Individual | Emergency Medicine | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 547-6468 |
| 1255383279 | PVL ASSOCIATES OF CEDARS INC Organization | Radiology (Diagnostic Radiology) | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 325-5511 |
| 1477509446 | CEDARS HEALTHCARE GROUP, LTD. Organization | General Acute Care Hospital | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 325-5511 |
| 1972550796 | CLAUDETE SCHIERHOLT CRNA Individual | Nurse Anesthetist, Certified Registered | 1400 NW 12TH AVE ANESTHESIA DEPARTMENT MIAMI, FL 33136 (305) 325-5416 |
| 1306885926 | JESUS VICTORIANO DIAZ CRNA Individual | Nurse Anesthetist, Certified Registered | 1400 NW 12TH AVE ANESTHESIA DEPARTMENT MIAMI, FL 33136 (305) 325-5416 |
| 1093742108 | RICARDO J. DESOUZA CRNA Individual | Nurse Anesthetist, Certified Registered | 1400 NW 12TH AVE ANESTHESIA DEPARTMENT MIAMI, FL 33136 (305) 325-5416 |
| 1144258724 | FRANCISCO A KERDEL MD Individual | Dermatology | 1400 NW 12TH AVE SUITE #4 MIAMI, FL 33136 (305) 324-2110 |
| 1952332421 | DOLORES M. GIBBS CRNA Individual | Nurse Anesthetist, Certified Registered | 1400 NW 12TH AVE DEPARTMENT OF ANESTHESIA MIAMI, FL 33136 (305) 325-5416 |
| 1124052113 | CARDIAC DIAGNOSTIC SERVICES INC Organization | Specialist | 1400 NW 12TH AVE MIAMI, FL 33136 (305) 325-5500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275649220, enumerated in the NPI registry as an "organization" on August 22, 2006
The provider is located at 1400 Nw 12th Ave Suite 4 Miami, Fl 33136 and the phone number is (305) 324-2110
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: AvMed, Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D2089805 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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