OCEANS DERMATOLOGY, LLC (NPI# 1013401710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013401710 |
| Entity Type | Organization |
| Organization Name | OCEANS DERMATOLOGY, LLC |
| Practice Address |
10151 Enterprise Center Blvd Suite 204 Boynton Beach FL 33437-3761 |
| Practice Telephone | 5612354222 |
| Practice Fax Number | 5617378583 |
| Mailing Telephone | 5614053000 |
| Mailing Fax Number | 5614591444 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | TEO D DAMSE (CEO) |
| Authorized Official Telephone | 5614053000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | VLXSP | 01 |
| Street Address |
10151 ENTERPRISE CENTER BLVD SUITE 204 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33437-3761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366439713 | William K Skinner | Urology | 10151 Enterprise Center Blvd, Suite 201, Boynton Beach, FL 33437-3759 | 2005-09-30 |
| 1134524739 | Kidney Specialist of Palm Beaches, LLC | Internal Medicine | 10151 Enterprise Center Blvd, Suite 104, Boynton Beach, FL 33437 | 2014-10-27 |
| 1093119158 | Kadesh Health Co | Family Medicine | 10151 Enterprise Center Blvd, Suite 204, Boynton Beach, FL 33437-3759 | 2014-10-20 |
| 1275942161 | Jonathan S Criss Md LLC | Ophthalmology | 10151 Enterprise Center Blvd, Ste 203, Boynton Beach, FL 33437 | 2014-08-05 |
| 1336564327 | Bbdl Gastro LLC | Internal Medicine | 10151 Enterprise Center Blvd, Suite 106, Boynton Beach, FL 33437-3759 | 2014-02-27 |
| 1093149569 | Suzanne Mcneal | Nurse Practitioner | 10151 Enterprise Center Blvd, Suite 101, Boynton Beach, FL 33437-3759 | 2013-09-02 |
| 1497007249 | Urology Group of Florida LLC | Urology | 10151 Enterprise Center Blvd, Suite #106, Boynton Beach, FL 33437-3759 | 2012-10-03 |
| 1922237932 | Royal Palm Beach Medical, Inc | Anesthesiology | 10151 Enterprise Center Blvd, Ste 205, Boynton Beach, FL 33437-3759 | 2009-07-11 |
| 1588891956 | Daniela A Capota | Internal Medicine | 10151 Enterprise Center Blvd, Suite 204, Boynton Beach, FL 33437-3759 | 2009-06-12 |
| 1205077286 | Michael L Metzger Md Pa | Internal Medicine | 10151 Enterprise Center Blvd, Suite 204, Boynton Beach, FL 33437-3761 | 2009-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1730725086 | Uttamkumar Sheladiya | Pharmacist | 12080 South Jog Rod, Boyton Beach, FL 33437 | 2019-11-21 |
| 1831601608 | Sheri Keehn | Nurse Practitioner | 6713 Conch Ct, Boynton Beach, FL 33437 | 2017-11-01 |
| 1265958037 | Kiersten Lutchi | Behavior Technician | 7862 Red Mahogany Road, Boynton Beach, FL 33437 | 2017-08-14 |
| 1740725084 | Marie Maxi | Behavior Technician | 6713 Heritage Grande, 1206, Boynton Beach, FL 33437 | 2016-12-22 |
| 1184071623 | Darronique Johnson | Technician, Other | 10779 Cambay Cr., Boynton Beach, FL 33437 | 2016-05-14 |
| 1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
| 1104258417 | Domenick Andrew Cerullo | Dentist | 10150 Hagen Ranch Road Suite 202, Dental Arts of Boynton Beach, P.a., Boynton Beach, FL 33437 | 2013-08-09 |
| 1275883399 | Kate A Vazquez | Physician Assistant | 7593 Boynton Beach Blvd Ste 190, Boynton Beach, FL 33437 | 2012-09-17 |
| 1912256009 | Kristi Joy Kline | Physical Therapist | 11135 South Jog Road, Suite 1, Boynton Beach, FL 33437 | 2012-09-05 |
| Find all providers in zip 33437 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437517802 | Total Vein and Skin LLC | Dermatology | 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 | 2016-02-01 |
| 1811155377 | Leavitt Medical Associates of Florida Inc | Dermatology | 10075 Jog Rd, Suite 203, Boynton Beach, FL 33437-3535 | 2008-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827577 | Onspot-fl LLC. | Dermatology | 16461 Domestic Ave, Fort Myers, FL 33912-6008 | 2020-10-08 |
| 1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
| 1154815546 | Forefront Dermatology, S.c. | Dermatology | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-06-19 |
| 1861812851 | Anand Haryani | Dermatology | 8745 N Us Highway 1, Sebastian, FL 32958-7524 | 2014-04-17 |
| 1164841797 | Michael Montuno | Dermatology | 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 | 2014-04-10 |
| 1861813719 | Hillcrest Dermatology and Plastic Surgery P.a. | Dermatology | 733 Highway 466, Lady Lake, FL 32159-6340 | 2013-12-19 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1619232501 | Alliant Dermatology Pa | Dermatology | 8620 E County Road 466, The Villages, FL 32162-3670 | 2012-07-07 |
| 1114218328 | Leavitt Medical Assocaittes of Florida Inc | Dermatology | 1426 E Bloomindale Ave, Valrico, FL 33596 | 2011-04-21 |
| 1992095681 | Leavitt Medical Associates of Florida Inc | Dermatology | 3427 Mariner Blvd, Spring Hill, FL 34609-2463 | 2011-04-14 |
| Find all providers with the same taxonomy | ||||
| City | BOYNTON BEACH |
| Zip Code | 33437 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.