FLORIDA MEDICAL SPECIALISTS, LLC (NPI# 1609216175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609216175 |
| Entity Type | Organization |
| Organization Name | FLORIDA MEDICAL SPECIALISTS, LLC |
| Other Organization Name | DERMATOLOGY ASSOCIATES |
| Practice Address |
11505 Palmbrush Trl Suite 220 Lakewood Ranch FL 34202-2915 |
| Mailing Address |
Po Box 25487 Sarasota FL 34277-2487 |
| Practice Telephone | 9417472090 |
| Practice Fax Number | 9415567785 |
| Mailing Telephone | 9413713500 |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |
| Authorized Official Name | INITA BEDI (MANAGING PARTNER) |
| Authorized Official Telephone | 9412845448 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Dermatology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386121770 | Florida Medical Specialists, LLC | Urology | 2302 60th Street Ct. W., Bradenton, FL 34209-0000 | 2018-07-27 |
| 1609403088 | Florida Medical Specialists, LLC | Internal Medicine | 4502 Cortez Rd W Ste 205, Bradenton, FL 34210-3124 | 2020-03-25 |
| 1336775212 | Florida Medical Specialists, LLC | Internal Medicine | 7273 Vanderbilt Beach Rd Ste 28, Naples, FL 34119-1479 | 2020-03-23 |
| 1013550102 | Florida Medical Specialists, LLC | Family Medicine | 14876 Tamiami Trl, North Port, FL 34287-2701 | 2019-10-22 |
| 1376020768 | Florida Medical Specialists, LLC | Urology | 401 Commercial Ct Ste E, Venice, FL 34292-1652 | 2018-07-27 |
| 1447742200 | Florida Medical Specialists, LLC | Family Medicine | 730 Goodlette Rd N Ste 100, Naples, FL 34102-5617 | 2018-06-06 |
| 1639546633 | Florida Medical Specialists, LLC | Dermatology | 8620 S Tamiami Trl, Sarasota, FL 34238-3049 | 2015-08-25 |
| 1831529007 | Florida Medical Specialists, LLC | Family Medicine | 8620 S Tamiami Trl, Sarasota, FL 34238-3049 | 2013-11-25 |
| 1407296130 | Florida Medical Specialists, LLC | Physical Medicine & Rehabilitation | 3830 Bee Ridge Rd, Suite 100, Sarasota, FL 34233-1105 | 2013-06-26 |
| 1396185047 | Florida Medical Specialists, LLC | Physical Medicine & Rehabilitation | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 | 2013-06-26 |
| Street Address |
11505 PALMBRUSH TRL SUITE 220 |
| City | LAKEWOOD RANCH |
| State | FL |
| Zip Code | 34202-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700959590 | Nicholas Lancia | Pathology | 11505 Palmbrush Trl, Suite 120, Lakewood Ranch, FL 34202-2915 | 2006-11-17 |
| 1720480643 | Diane Pearce | Nurse Practitioner | 11505 Palmbrush Trl, Suite 200, Lakewood Ranch, FL 34202-2915 | 2014-09-23 |
| 1912311895 | Nora Clemens | Nutritionist | 11505 Palmbrush Trl, Lakewood Ranch, FL 34202-2915 | 2014-06-18 |
| 1396185047 | Florida Medical Specialists, LLC | Physical Medicine & Rehabilitation | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 | 2013-06-26 |
| 1730422320 | Florida Medical Specialists LLC | Internal Medicine | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 | 2013-04-01 |
| 1598057630 | Wesley Stephen Hardin | Physician Assistant | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 | 2011-05-09 |
| 1811218613 | Daniela Kassabov | Family Medicine | 11505 Palmbrush Trl, Suite 220, Lakewood Ranch, FL 34202-2915 | 2010-06-15 |
| 1629245683 | Tonantzin Matheus | Internal Medicine | 11505 Palmbrush Trl, Suite 200, Lakewood Ranch, FL 34202-2915 | 2008-05-09 |
| 1649490095 | Jill Christin Rose | Physical Therapist | 11505 Palmbrush Trl, Lakewood Ranch, FL 34202-2917 | 2007-04-26 |
| 1871628529 | Hung-wei Lee | Pathology | 11505 Palmbrush Trl, Suite 120, Lakewood Ranch, FL 34202-2915 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795857 | Kind Smiles Dental Health | Clinic/Center | 11155 State Road 70 E, Lakewood Ranch, FL 34202 | 2020-09-23 |
| 1881208494 | Abby Elizabeth Crews | Nurse Practitioner | 7534, Divot Loop, Bradenton, FL 34202 | 2020-09-01 |
| 1982220158 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 14605 Sr 70, Bradenton, FL 34202 | 2020-06-23 |
| 1871118380 | Alternative Psychiatry, LLC | Registered Nurse | 8788 Sr 70 E, Suite 101, Bradenton, FL 34202 | 2020-06-10 |
| 1528617651 | Bass Partners LLC | Behavioral Analyst | 20818 Parkstone Terrace, Lakewood Ranch, FL 34202 | 2019-09-11 |
| 1861049090 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11521 Sr 70 East, Bradenton, FL 34202 | 2019-08-22 |
| 1205496171 | Bryan J Morgan Lwr Pa | Dentist | 11157 Sr70 E, Lakewood Ranch, FL 34202 | 2019-06-13 |
| 1023677358 | Taneshia Mcclendon | Nurse Practitioner | 6310 Health Park Way Ste 100, Lakewood Ranch, FL 34202 | 2019-06-11 |
| 1497231542 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 7325 University Pkwy, Lakewood Ranch, FL 34202 | 2018-07-12 |
| 1790273159 | Main Street Childrens Dentistry and Orthodontics of Lakewood Ranch Pll | Dentist | 11649 Sr 70 East, Suite 109, Bradenton, FL 34202 | 2018-05-01 |
| Find all providers in zip 34202 | ||||
| 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 |
|---|---|---|---|---|
| 1851587794 | Emily F Arsenault Md Pa | Dermatology | 8374 Market St, # 402, Lakewood Ranch, FL 34202-5137 | 2007-09-24 |
| 1972513109 | Emily F Arsenault | Dermatology | 8374 Market St, # 402, Lakewood Ranch, FL 34202-5137 | 2006-08-09 |
| 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 | LAKEWOOD RANCH |
| Zip Code | 34202 |
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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.