Kellie A Mosley Mendez (NPI# 1386694388, PAC ID# 4587679121) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1386694388 |
| PAC ID by PECOS | 4587679121 |
| Professional Enrollment ID | I20060217000427 |
| Full Name | Kellie A Mosley Mendez |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Address |
2020 Ne 36th St Lighthouse Point FL 33064-7596 |
| Phone Number | 9549608880 |
| Gender | F |
| Credential | DO |
| Graduation Year | 1998 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6901893155 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2020 Ne 36th St, Lighthouse Point, FL 33064-7596 | 9549608880 | WATERS EDGE DERMATOLOGY LLC |
| 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 | 5616949493 | WATERS EDGE DERMATOLOGY LLC |
| Organization Legal Name | WATERS EDGE DERMATOLOGY LLC |
| Physicians | 65 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan M Carp | Dermatology | Waters Edge Dermatology LLC | 6642 W Atlantic Ave, Delray Beach, FL 33446-1616 |
| Stefan Doig | Dermatology | Waters Edge Dermatology LLC | 2910 Se3rd Ct, Ocala, FL 34471-0485 |
| Christopher Spock | Dermatology | Waters Edge Dermatology LLC | 121 S State Rd, Suite 7, Wellington, FL 33414-4338 |
| Gioconda A Boaz | Physician Assistant | Waters Edge Dermatology LLC | 2685 Forest Hill Blvd, West Palm Beach, FL 33406-5930 |
| Claudia Alejandra Vera | Physician Assistant | Waters Edge Dermatology LLC | 562 N Us Hwy 27, Lady Lake, FL 32159-3776 |
| Shery M Varghese | Dermatology | Waters Edge Dermatology LLC | 590 Malabar Rd Se, Suite 2, Palm Bay, FL 32907-3108 |
| Michael T Siino | Physician Assistant | Waters Edge Dermatology LLC | 7605 Conroy Windermere Rd, Orlando, FL 32835-2646 |
| Laura B Destefano | Dermatology | Waters Edge Dermatology LLC | 2484 Caring Way, Unit C, Port Charlotte, FL 33952-5306 |
| Theodore A Schiff | Dermatology | Waters Edge Dermatology LLC | 600 Village Square Xing, Palm Beach Gardens, FL 33410-4543 |
| John Gregory Neily | Dermatology | Waters Edge Dermatology LLC | 4315 Tamiami Trl S, Venice, FL 34293-5117 |
| Street Address |
2020 NE 36TH ST |
| City | LIGHTHOUSE POINT |
| State | FL |
| Zip | 33064-7596 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shireen Bower | Nurse Practitioner | Waters Edge Dermatology LLC | 2020 Ne 36th St, Lighthouse Point, FL 33064-7596 |
| Beth M Mitchell | Physician Assistant | Waters Edge Dermatology LLC | 2020 Ne 36th St, Lighthouse Point, FL 33064-7596 |
| Jennifer N. Marshall | Physician Assistant | Waters Edge Dermatology LLC | 2020 Ne 36th St, Lighthouse Point, FL 33064-7596 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Lee Hollibush | Family Medicine | Md Now Medical Centers Inc | 2505 N Federal Hwy, Lighthouse Point, FL 33064 |
| Robert M Baker | Diagnostic Radiology | North Broward Radiologists, P.a. | 1608 Se 3rd Ave, Fort Lauderdale, FL 33064 |
| Niermala Washington | General Practice | 3511 Nw8th Ave, I2, Pompano Beach, FL 33064 | |
| Rochel Gelinas | Family Medicine | Md Now Medical Centers Inc | 2505 N Federal Hwy, Lighthouse Point, FL 33064 |
| Francois Chidiac | Family Medicine | Md Now Medical Centers Inc | 2505 N Federal Hwy, Lighthouse Point, FL 33064 |
| Janet L Nguyen-sperry | Radiation Oncology | 21st Century Oncology, LLC | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Tracey E Tordella | Nurse Practitioner | North Broward Hospital District | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Kenneth P Morrison | Diagnostic Radiology | North Broward Radiologists, P.a. | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Ronald L Stricoff | General Surgery | South Florida Surgical Specialists LLC | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Mehmet G Hepgur | Hematology/oncology | North Broward Hospital District | 201 E Sample Rd, Pompano Beach, FL 33064-3502 |
| Find all physicians in zip 33064 | |||
| City | LIGHTHOUSE POINT |
| Zip Code | 33064 |
| Specialty | DERMATOLOGY |
| City + Specialty | LIGHTHOUSE POINT + DERMATOLOGY |
Please comment or provide details below to improve the information on Kellie A Mosley Mendez.
| 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.