Brent Davin Hopson (NPI# 1104978287, PAC ID# 1153409438) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104978287 |
| PAC ID by PECOS | 1153409438 |
| Professional Enrollment ID | I20181227000630 |
| Full Name | Brent Davin Hopson |
| Organization Legal Name | MID-FLORIDA DERMATOLOGY ASSOCIATES P.A. |
| Address |
3100 Us Hwy 1 S Suite 4a St Augustine FL 32086-6310 |
| Phone Number | 4072997333 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1254233786 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 519n Dixie Fwy, New Smyrna Beach, FL 32168-6707 | 3864282223 | MID-FLORIDA DERMATOLOGY ASSOCIATES P.A. |
| 100 W Gore St, Suite 600, Orlando, FL 32806-1051 | 4072997333 | MID-FLORIDA DERMATOLOGY ASSOCIATES P.A. |
| 802 Sterthaus Dr, Suite C, Ormond Beach, FL 32174-5132 | 4072997333 | MID-FLORIDA DERMATOLOGY ASSOCIATES P.A. |
| 3100 Us Hwy 1 S, Suite 4a, St Augustine, FL 32086-6310 | 4072997333 | MID-FLORIDA DERMATOLOGY ASSOCIATES P.A. |
| Organization Legal Name | MID-FLORIDA DERMATOLOGY ASSOCIATES P.A. |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Horta | Nurse Practitioner | Mid-florida Dermatology Associates P.a. | 4151 Hunters Park Ln, Suite 156, Orlando, FL 32837-3617 |
| Christina Morales | Nurse Practitioner | Mid-florida Dermatology Associates P.a. | 3021 W Eau Gallie Blvd, Suite 102, Melbourne, FL 32934-7005 |
| Jessica Kailee White | Nurse Practitioner | Mid-florida Dermatology Associates P.a. | 519n Dixie Fwy, New Smyrna Beach, FL 32168-6707 |
| Darya Kyrylina | Nurse Practitioner | Mid-florida Dermatology Associates P.a. | 2650 W State Rd, Suite 434, Longwood, FL 32779-4815 |
| Jillian Morrison | Plastic and Reconstructive Surgery | Mid-florida Dermatology Associates P.a. | 802 Sterthaus Dr, Suite C, Ormond Beach, FL 32174-5132 |
| Cassie Robinson | Physician Assistant | Mid-florida Dermatology Associates P.a. | 132 Benmore Dr, Winter Park, FL 32792-4101 |
| Elizabeth Arnp Liskey | Nurse Practitioner | Mid-florida Dermatology Associates P.a. | 7652 Ashley Park Ct, Suite 305, Orlando, FL 32835-6199 |
| Mindy Ley | Physician Assistant | Mid-florida Dermatology Associates P.a. | 1325 S International Pkwy, Suite 2243, Lake Mary, FL 32746-1406 |
| Patricia Alexis Reed | Physician Assistant | Mid-florida Dermatology Associates P.a. | 6042 Magazine St, New Orleans, LA 70118-5871 |
| Adelaide Smith | Nurse Practitioner | Mid-florida Dermatology Associates P.a. | 25 Windsormere Way, Suite 101, Oviedo, FL 32765-6509 |
| Street Address |
3100 US HWY 1 S SUITE 4A |
| City | ST AUGUSTINE |
| State | FL |
| Zip | 32086-6310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohamed M Akhiyat | Obstetrics/gynecology | 3100 Us Hwy 1 S, Suite 1, St Augustine, FL 32086-6310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana D Reynolds | Nurse Practitioner | First City Hospitalists Group Pllc | 3 Rd, St Augustine, FL 32086 |
| Alexandra Gabrielle Feuer | Physician Assistant | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| James Bernard | Dermatology | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| Richard W Johnson | Podiatry | Coastal Foot and Ankle Wellness Center LLC | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 |
| Josep Genebriera-de Lamo | Dermatology | Leavitt Medical Associates of Florida Inc | 200 Southpark Blvd, Suite 209, St Augustine, FL 32086-3129 |
| Jose Concha | Podiatry | Coastal Foot and Ankle Wellness Center LLC | 200 Southpark Blvd, Suite 208, St Augustine, FL 32086-3129 |
| David C Lomaglio | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
| Judith L Nichols | Nurse Practitioner | St Augustine Primary Care P L | 105 Mariner Health Way, Suite 203, St Augustine, FL 32086-3251 |
| Andrew Raymond Schreiner | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
| Hyacinth Wallace | Physical Therapy | Saint Augustine Rehabilitation Specialists LLC | 105 Mariner Health Way, Suite 213, St Augustine, FL 32086-3251 |
| Find all physicians in zip 32086 | |||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ST AUGUSTINE + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.