DR. JENNIFER MOSCOSO CONDE


Address: 5607 Skyop Drive, Lithia, FL 33547
Phone: 8135306511

DR. JENNIFER MOSCOSO CONDE (NPI# 1578978516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578978516
Entity Type Individual
Full Name DR. JENNIFER MOSCOSO CONDE
Other Name DR. JENNIFER MARIE MOSCOSO
Credential D.O.
Practice Address 5607 Skyop Drive
Lithia
FL 33547
Mailing Address 5607 Skytop Dr
Lithia
FL 33547-4165
Practice Telephone 8135306511
Enumeration Date 2014-06-29
Last Update Date 2019-01-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology OS12902 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 021198100 05
FL MEDICARE IZ758Z 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1600 S Andrews Ave, Fort Lauderdale, FL 333162510 9543554391
4037 Nw 86th Ter, Gainesville, FL 326069277 3525941500

Other Providers JENNIFER CONDE

NPI Name Taxonomy Address Enumeration
1982129268 Jennifer Conde Behavior Technician 14425 Country Walk Dr, Miami, FL 33186-8103 2017-08-08
1710282835 Jennifer Conde Behavioral Analyst 8001 Beaty Grove Dr, Tampa, FL 33626-1602 2011-01-20
1598960981 Jennifer Foushee Conde Anesthesiology 2165 Herschel St, Jacksonville, FL 32204-3819 2007-06-18

Office Location

Street Address 5607 SKYOP DRIVE
City LITHIA
State FL
Zip Code 33547

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316402274 Publix Super Markets, Inc. Durable Medical Equipment & Medical Supplies 5655 Circa Fishhawk Blvd., Lithia, FL 33547 2019-02-05
1588169098 Guided Life Care Planning Services LLC Case Management 17429 New Cross Cir, Lithia, FL 33547 2018-03-27
1649700451 Jose Luis Ruiz Dentist 33547 Fishhawk Blvd and Bayberry Glenn, Lithia, FL 33547 2017-06-14
1588195721 Conde Dermatology Group Pllc Clinic/Center 5607 Skytop Drive, Lithia, FL 33547 2017-03-21
1164812558 Yvette Marie Collins Pharmacist 18130 Dorman Rd, Lithia, FL 33547 2015-01-23
1174930473 Magdolen Midence Pharmacist 18715 Lithia Towne Rd, Lithia, FL 33547 2014-07-18
1518381227 Patty's House 2 LLC Assisted Living Facility 3425 Porter Road, Lithia, FL 33547 2014-02-17
1982028692 Patty's House Inc Assisted Living Facility 10637 Lithia Pinecrest Road, Lithia, FL 33547 2014-02-17
1114297264 Melanie Jane Fielding Registered Nurse 2030 Nichols Road, Lithia, FL 33547 2012-01-06
1528337979 Pamela Marlene Gerhard Physical Therapy Assistant 10118 Gerhard Ln, Lithia, FL 33547 2011-12-14
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

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City LITHIA
Zip Code 33547

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Dataset Information

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.

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