FOREFRONT DERMATOLOGY, S.C. (NPI# 1154815546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154815546 |
| Entity Type | Organization |
| Organization Name | FOREFRONT DERMATOLOGY, S.C. |
| Other Organization Name | ADVANCED DERMATOLOGY & SKIN CARE CENTRE |
| Practice Address |
7720 Us Highway 98 W Ste 240 Miramar Beach FL 32550-7232 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 8505025989 |
| Practice Fax Number | 8502666301 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | DR. BETSY J WERNLI (PRESIDENT) |
| Authorized Official Telephone | 9204820671 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advanced Dermatology & Skin Care Centre | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10800 Panama City Beach Pkwy Ste 200, Panama City Beach, FL 324072532 | 8502505790 | 8502666301 |
| 4400 E Highway 20 Ste 209, Niceville, FL 32578 | 8505025989 | 8502666301 |
| 4592 E Highway 20 Ste 3, Niceville, FL 325787711 | 8503894955 | 8502666301 |
| 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 325507232 | 8505025989 | 8502666301 |
| 2202 State Ave Ste 102, Panama City, FL 324054539 | 8502505790 | 8502666301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518480136 | Forefront Dermatology, S.c. | Dermatology | 8134 Old Georgetown Rd, Bethesda, MD 20814 | 2017-07-25 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1245777994 | Forefront Dermatology, S.c. | Dermatology | 11137 U.S. 52, Brookville, IN 47012 | 2017-01-19 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
| 1871047365 | Forefront Dermatology, S.c. | Dermatology | 339 Old Haymaker Rd Suite 201, Monroeville, PA 15146 | 2016-08-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FOREFRONT DERMATOLOGY, S.C., | 801 York St, Manitowoc, WI 54220 |
| Street Address |
7720 US HIGHWAY 98 W STE 240 |
| City | MIRAMAR BEACH |
| State | FL |
| Zip Code | 32550-7232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679058986 | Cameron Bass | Physician Assistant | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652645 | S & R Dental Services, Inc. | Dentist | Carr. Int'l Zaragoza 445-1, Cd. Juarez, CHIHUAHUA 32550 | 2020-09-03 |
| 1801304746 | Dina Smith | Student in an Organized Health Care Education/Training Program | 12815 Highway 98, Suite 108, Miramar Beach, FL 32550 | 2018-01-12 |
| 1023484565 | The Hormone Restoration Center | Health Maintenance Organization | 12889 Hwy 98 W, Suite 107b, Miramar Beach, FL 32550 | 2015-08-19 |
| 1093051344 | Jason E Baker Dds LLC | Dentist | 77 South Shore Drive, Miramar Beach, FL 32550 | 2012-12-13 |
| 1801166210 | Yadhira A. Diaz | Dentist | Carr. Internacional Waterfill #500, Zaragoza, CHIHUAHUA 32550 | 2012-01-03 |
| 1427340355 | Asim S Ahmed | Internal Medicine | 7720 Us Highway 98 W Ste 110, Miramar Beach, FL 32550 | 2011-05-11 |
| 1922234160 | Ryan Winters | Physical Therapy Assistant | 7720 Highway 98, 220, Destin, FL 32550 | 2009-06-02 |
| 1619169133 | Jessica Marie Virtue | Specialist | 12815 Hwy 98 W, Suite 114, Destin, FL 32550 | 2007-08-17 |
| 1811100217 | Maria G Vazquez | Dentist | 445 Zaragoza, Juarez, MEXICO 32550 | 2007-05-08 |
| 1013137082 | Dental Waterfill Sc | Dentist | 445 Saborosa Ave, Sabarosa, CHIH 32550 | 2007-05-01 |
| Find all providers in zip 32550 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528042256 | David C Adams | Dermatology | 12469 Emerald Coast Pkwy W, Miramar Beach, FL 32550-8305 | 2005-12-06 |
| 1205174232 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 7720 Us Highway 98 W, Suite 340, Miramar Beach, FL 32550-7230 | 2013-01-25 |
| 1114238193 | Coastal Skin Surgery and Dermatology, Pl | Dermatology | 12469 Emerald Coast Pkwy W, Suite 101, Miramar Beach, FL 32550-8305 | 2010-06-24 |
| 1548425812 | Nicholas George Papajohn | Dermatology | 12469 Emerald Coast Pkwy W, Suite 101, Miramar Beach, FL 32550-8305 | 2008-07-25 |
| 1932187960 | Ronald Belle Johnston Jr. | Dermatology | 7720 Us Highway 98 W, Ste 340, Miramar Beach, FL 32550 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002154 | Precision Skin LLC | Dermatology | 3501 S University Dr Ste 5, Davie, FL 33328-2001 | 2020-10-28 |
| 1487252417 | Janice Reaume | Dermatology | 3335 Imperial Manor Way, Mulberry, FL 33860-5519 | 2020-10-12 |
| 1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
| 1518585447 | Alexander F Wong | Dermatology | 1300 Goodlette-frank Rd N, Naples, FL 34102-5243 | 2020-07-07 |
| 1508495003 | Elite Dermatology | Dermatology | 401 Coral Way Ste 207, Coral Gables, FL 33134-4924 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1396380044 | Suzanne Marie Smith | Dermatology | 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 | 2019-11-15 |
| 1376188383 | Enchantress Dermatology, Inc. | Dermatology | 241 Nw 119 Ave, Miami, FL 33182-1329 | 2019-11-13 |
| 1699319988 | Revivify Dermatology, LLC | Dermatology | 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 | 2019-10-30 |
| 1841833928 | Carly Marie Maher | Dermatology | 90 Cypress Way E Ste 50, Naples, FL 34110-9275 | 2019-10-22 |
| Find all providers with the same taxonomy | ||||
| City | MIRAMAR BEACH |
| Zip Code | 32550 |
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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.