FLORIDA SKIN CENTER INC (NPI# 1730173709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730173709 |
| Entity Type | Organization |
| Organization Name | FLORIDA SKIN CENTER INC |
| Practice Address |
13691 Metropolis Ave Fort Myers FL 33912-4318 |
| Practice Telephone | 2395613376 |
| Practice Fax Number | 2395613020 |
| Mailing Telephone | 2395613376 |
| Mailing Fax Number | 2395613020 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2013-10-23 |
| Authorized Official Name | DR. ANAIS AURORA BADIA (OWNER PRESIDENT) |
| Authorized Official Telephone | 2395613376 |
| Authorized Official Credential | DO MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 05007304 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 58688 | 01 |
| Street Address |
13691 METROPOLIS AVE |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398018 | Ruby Trujillo | Physician Assistant | 13691 Metropolis Ave, Fort Myers, FL 33912-4318 | 2020-02-13 |
| 1306320858 | Soledad Triana | Physician Assistant | 13691 Metropolis Ave, Fort Myers, FL 33912-4318 | 2018-09-20 |
| 1922526276 | Melanie Tarabay | Dermatology | 13691 Metropolis Ave, Fort Myers, FL 33912-4318 | 2017-09-07 |
| 1518345073 | Yamile Solis | Physician Assistant | 13691 Metropolis Ave, Fort Myers, FL 33912-4318 | 2015-05-15 |
| 1679825830 | Brandie N Gostigian | Dermatology | 13691 Metropolis Ave, Fort Myers, FL 33912-4318 | 2012-10-11 |
| 1477830669 | Brooke Elizabeth Drew | Physician Assistant | 13691 Metropolis Ave, Fort Myers, FL 33912-4318 | 2011-11-16 |
| 1770773780 | Frank L Levy | Podiatrist | 13691 Metropolis Ave, C/o Florida Skin Center, Inc., Fort Myers, FL 33912-4318 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| 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 |
|---|---|---|---|---|
| 1033352695 | Mary Frances Pilcher | Dermatology | 14071 Metropolis Ave, Fort Myers, FL 33912 | 2009-04-13 |
| 1518126192 | Charles S Eby Md Pa | Dermatology | 2666 Swamp Cabbage Ct, Fort Myers, FL 33901-9332 | 2008-06-09 |
| 1730375460 | Shirisha Rao Vallarapu | Dermatology | 13691 Metropolis Avenue, Fort Myers, FL 33912 | 2007-09-17 |
| 1366647562 | Allison Jeanne Brown | Dermatology | 2621 Cleveland Ave., Fort Myers, FL 33901 | 2007-06-18 |
| 1790898864 | Sherrie L Jones | Dermatology | 9090 Park Royal Dr, Fort Myers, FL 33908-9616 | 2006-08-15 |
| 1386686020 | Debra D Fett Desmond | Dermatology | 14361 Metropolis Ave, Suite 2, Fort Myers, FL 33912-4453 | 2006-06-10 |
| 1255390985 | Mark H. Kagen | Dermatology | 7331 Gladiolus Drive, Fort Myers, FL 33908 | 2006-03-21 |
| 1366422982 | Stephen J Shideler | Dermatology | 3268 Forum Blvd Ste 201, Fort Myers, FL 33905-5585 | 2006-01-19 |
| 1760481840 | Leonard Dean Cutler | Dermatology | 7310 College Pkwy, Fort Myers, FL 33907-5503 | 2005-07-20 |
| 1932107398 | Nancy R Schleider | Dermatology | 13691 Metro Pkwy, Ste 420, Fort Myers, FL 33912-4327 | 2005-07-11 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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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.