Mid-Florida Dermatology Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0050355 Issued in FL

Legal business name

MID-FLORIDA DERMATOLOGY ASSOCIATES

Practice address

7652 Ashley Park CT
Suite 305
Orlando, FL 32835-6199

Phone

(407) 299-7333

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Rita K Dobson

Title

Insurance Dept Manager

Phone

(407) 299-7333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mid-Florida Dermatology Associates P.a.

  dba NOLA Dermatology

  • Dermatology Physician
  • Orlando, FL
  • NPI 1619018561

  O20051018000717

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mickelle Riley, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1124203294
  NPD
• Oscar E Saffold, M.D

  • Clinical & Laboratory Dermatological Immunology Physician
  • Orlando, FL
  • NPI 1245257971
  NPD

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1043341548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 ASHLEY PARK CT",
            "address_2": "SUITE 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356199",
            "telephone_number": "407-299-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7652 ASHLEY PARK CT",
            "address_2": "SUITE 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356199",
            "telephone_number": "407-299-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "INSURANCE DEPT MANAGER",
        "authorized_official_telephone_number": "407-299-7333"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0050355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Elaine Micklewright, BCPS
• Sharon Hoffman Micklos, M.S., CCC-SLP
• Mid Florida Adult Medicine, LLC
• Mid Florida Health, Inc.
• Mid-Florida Cardiology Specialists
• Mid-Florida Dermatology Associates (Hunter Phillips Dermatology)
• Mid-Florida Dermatology Associates P.a. (NOLA Dermatology)
• Mid-Florida Endodontics - Dr. Phillips, PLLC
• Mid-Florida Rheumatology LLC
• Mid-Florida Urological Associates PA

• Specialist in Orlando, FL
• Providers in Orlando, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.