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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | OS12902 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 021198100 | 05 | |
FL | MEDICARE | IZ758Z | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1600 S Andrews Ave, Fort Lauderdale, FL 333162510 | 9543554391 | |
4037 Nw 86th Ter, Gainesville, FL 326069277 | 3525941500 |
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 |
Street Address |
5607 SKYOP DRIVE |
City | LITHIA |
State | FL |
Zip Code | 33547 |
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 |
Find all providers in zip 33547 |
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 |
---|---|---|---|---|
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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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.