SUNNYCOAST DERMATOLOGY, INC. (NPI# 1962487546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962487546 |
| Entity Type | Organization |
| Organization Name | SUNNYCOAST DERMATOLOGY, INC. |
| Practice Address |
1850 43rd Ave Suite 4 & 5 C Vero Beach FL 32960-0504 |
| Practice Telephone | 7722994000 |
| Practice Fax Number | 7722994001 |
| Mailing Telephone | 7722994000 |
| Mailing Fax Number | 7722994001 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THEODOR MAJOR RUDOLPH (MEDICAL DIRECTOR/MEDICAL DOCTOR) |
| Authorized Official Telephone | 7722994000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | ME79805 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1850 43RD AVE SUITE 4 & 5 C |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-0504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114271087 | Targeted Treatment Solutions | Community/Behavioral Health | 1850 43rd Ave, Suite C-10, Vero Beach, FL 32960-0504 | 2012-10-31 |
| 1811269251 | James Joseph Norconk IIi | Counselor | 1850 43rd Ave, Suite C-10, Vero Beach, FL 32960-0504 | 2012-02-01 |
| 1750660841 | Shakti Sutriasa | Social Worker | 1850 43rd Ave, C-11, Vero Beach, FL 32960-0504 | 2011-08-08 |
| 1306145883 | Helen Jessup Murray | Counselor | 1850 43rd Ave, Suite C-11, Vero Beach, FL 32960 | 2011-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| 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 |
|---|---|---|---|---|
| 1740363902 | James Grichnik | Dermatology | 998 35th Lane, Vero Beach, FL 32960-4862 | 2006-10-23 |
| 1073601183 | Skin Cancer Center of The Treasure Coast, Inc. | Dermatology | 49 Royal Palm Pt., Suite. 100, Vero Beach, FL 32960-4295 | 2006-10-11 |
| 1881614618 | Larry Landsman | Dermatology | 787 37th St Ste E250, Vero Beach, FL 32960-7307 | 2006-07-21 |
| 1124047048 | Patrick T Ottuso M D F A A D P A | Dermatology | 1955 22nd Avenue, Vero Beach, FL 32960 | 2006-07-19 |
| 1790701951 | Kelmar Montgomery Burge Jr. | Dermatology | 643 17th St, Vero Beach, FL 32960-6236 | 2006-07-14 |
| 1043254964 | John W Mcdonald | Dermatology | 1770 37th St, Vero Beach, FL 32960-4813 | 2006-06-15 |
| 1477504025 | Neil S. Heskel | Dermatology | 865 37th Pl, Vero Beach, FL 32960-6564 | 2006-05-16 |
| 1437117058 | Monika Srivastava | Dermatology | 1600 36th St Ste B, Vero Beach, FL 32960 | 2006-05-03 |
| 1700861382 | Theodor Major Rudolph | Dermatology | 3900 20th St, Vero Beach, FL 32960-2413 | 2005-12-07 |
| 1386627867 | Patrick Thomas Ottuso | Dermatology | 1955 22nd Ave, Vero Beach, FL 32960-3083 | 2005-11-29 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
Please comment or provide details below to improve the information on SUNNYCOAST DERMATOLOGY, INC..
| 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.