Family Dermatology of North Florida LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FAMILY DERMATOLOGY OF NORTH FLORIDA LLC

Practice address

1981 Capital Cir NE
Tallahassee, FL 32308-4421

Phone

(850) 402-9444

Fax

(850) 402-0188

NPI assigned

Oct 23, 2019

Last updated

Mar 26, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Oen-Hiang Cynthia Tie, MDNPI 1356346894

Title

Authorized Official

Phone

(850) 402-9444

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oen-Hiang Cynthia Tie, M.D.

  • Dermatology Physician
  • Tallahassee, FL
  • NPI 1356346894
  Medicare reassignment Care Compare group NPD Authorized official
• Clara Barranco, MD

  • Dermatology Physician
  • Tallahassee, FL
  • NPI 1780204057
  Medicare reassignment Care Compare group NPD
• David Pascoe, M.D.

  • Dermatology Physician
  • Tallahassee, FL
  • NPI 1003038555
  Medicare reassignment Care Compare group NPD
• Maria Valenti Smit

  • Physician Assistant
  • Tallahassee, FL
  • NPI 1821309733
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1033752969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084421",
            "telephone_number": "850-402-9444",
            "fax_number": "850-402-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084421",
            "telephone_number": "850-402-9444",
            "fax_number": "850-402-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DERMATOLOGY OF NORTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "TIE",
        "authorized_official_first_name": "OEN-HIANG",
        "authorized_official_middle_name": "CYNTHIA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "850-402-9444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257072600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46953",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Falzoi, OTR/L
• Families First of Florida
• Families First Primary Care
• Family Community Resources
• Family Community Resources
• Family Integrative Wellness Clinic
• Family Resources, Inc.
• Lynn Fan, MD
• Tina Fann-Biondi
• Katie Fannin

• Dermatology Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.