DR. DAREL DEAN PRUETT (NPI# 1710900923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710900923 |
| Entity Type | Individual |
| Full Name | DR. DAREL DEAN PRUETT |
| Credential | DO |
| Practice Address |
1010 Kennedy Dr Suite 304 Key West FL 33040-4134 |
| Mailing Address |
Po Box 1910 Islamorada FL 33036-1910 |
| Practice Telephone | 3052963334 |
| Practice Fax Number | 3056649777 |
| Mailing Telephone | 3052963334 |
| Mailing Fax Number | 3056649777 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
OS 0004525 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1010 KENNEDY DR SUITE 304 |
| City | KEY WEST |
| State | FL |
| Zip Code | 33040-4134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023052313 | Debra Flynn | Chiropractor | 1010 Kennedy Dr, Suite 401, Key West, FL 33040-4134 | 2006-06-16 |
| 1508255753 | Jonathan Meyers | Chiropractor | 1010 Kennedy Dr, 306, Key West, FL 33040-4134 | 2015-01-12 |
| 1336576230 | Michael Mcivor Md Pa | Internal Medicine | 1010 Kennedy Dr, #400, Key West, FL 33040-4134 | 2013-10-09 |
| 1912201328 | Robert Timothy Albrecht | Reflexologist | 1010 Kennedy Dr, Suite 403, Key West, FL 33040-4134 | 2010-12-28 |
| 1427220193 | Therapeutic Massage of Key West Inc | Massage Therapist | 1010 Kennedy Dr, #403, Key West, FL 33040 | 2008-04-02 |
| 1083807044 | Melissa Munoz | Chiropractor | 1010 Kennedy Dr, Ste 401, Key West, FL 33040 | 2007-08-23 |
| 1871619098 | Deedee Vazquez | Physician Assistant | 1010 Kennedy Dr, Suite 304, Key West, FL 33040-4134 | 2007-03-21 |
| 1679586382 | Kendall Lewis Jones | Dentist | 1010 Kennedy Dr, Suite #307, Key West, FL 33040-4134 | 2006-08-14 |
| 1750396339 | Key West Dermatology Inc | Clinic/Center | 1010 Kennedy Dr, Suite 304, Key West, FL 33040-4134 | 2006-07-30 |
| 1134155294 | Michel Guy Vandormael | Internal Medicine | 1010 Kennedy Dr, Suite 400, Key West, FL 33040-4134 | 2006-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326668120 | Key West Nursing Home Propco LLC | Skilled Nursing Facility | 5860 College Road, Key West, FL 33040 | 2020-04-21 |
| 1811461262 | Housing Authority of The Key West | Assisted Living Facility | 1664 Dunlap Drive, Key West, FL 33040 | 2019-01-18 |
| 1154833077 | Katrina Karr Pfander | Speech-Language Pathologist | 24 Jade Dr., Unit 6, Key West, FL 33040 | 2017-11-01 |
| 1356866529 | Kelli Stolar | Case Manager/Care Coordinator | 1205 Fourth Street, Key West, FL 33040 | 2017-08-09 |
| 1861931065 | Kathy Snyder | Case Manager/Care Coordinator | 1205 Fourth St, Key West, FL 33040 | 2017-02-21 |
| 1649722984 | Schanae Cunningham | Social Worker | 1502 Salmon Court, Key West, FL 33040 | 2016-11-03 |
| 1700286127 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 5610 Overseas Highway, Stock Island, FL 33040 | 2014-09-04 |
| 1255747945 | Paul A Tate Jr. | Emergency Medicine | Naval Branch Health Clinic Key West, 1300 Douglas Cir, Key West, FL 33040 | 2014-07-02 |
| 1851644629 | Erin Sheehan | Registered Nurse | 1200 Kennedy Dr Fl 2, Key West, FL 33040 | 2012-10-18 |
| 1861743197 | Sarah Miranda Cox | Social Worker | 1217 White St Ste 201, Key West, FL 33040 | 2012-09-26 |
| Find all providers in zip 33040 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579002 | Alicia Nunez | Dermatology | 1000 W Broadway St Ste 206, Oviedo, FL 32765-9262 | 2019-07-01 |
| 1477114197 | Leslie Z Rohaidy | Dermatology | 55 Se 6th St Apt 3101, Miami, FL 33131-2570 | 2019-06-24 |
| 1376029579 | Gulfshore Dermatology At Coralwood, Pa | Dermatology | 326 Del Prado Blvd N Ste 301, Cape Coral, FL 33909-2288 | 2018-07-11 |
| 1033639786 | Beautysmart Dermatology Clinic and Medical Spa LLC | Dermatology | 94 S Federal Hwy, Boca Raton, FL 33432-4825 | 2017-06-23 |
| 1215319793 | Orlando Skin Institute, LLC | Dermatology | 110 Pond Ct, Ste 301, Debary, FL 32713 | 2015-06-22 |
| 1336584960 | Devorah R Shagalov | Dermatology | 3850 Hollywood Blvd Ste 403, Hollywood, FL 33021-6746 | 2013-05-09 |
| 1871834606 | Geoffrey Michael Siegel | Dermatology | 478 Alamanda Dr, Hallandale Beach, FL 33009-6508 | 2013-03-04 |
| 1174852560 | Nautilus Health Care Group, LLC | Dermatology | 5220 Belfort Rd S, Ste 130, Jacksonville, FL 32256 | 2009-12-14 |
| 1447494885 | Matteo Taerri | Dermatology | 510 Howard Ct, Sarasota, FL 34236-5050 | 2009-04-29 |
| 1336319045 | Miloslava Mician Md Pa | Dermatology | 3619 W Waters Ave, Tampa, FL 33614-2783 | 2008-03-10 |
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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.