Organization Active NPI

Hernando Skin & Cancer Center P.a.

  • Dermatology Physician
  • Brooksville, FL
National Provider Identifier
1114235389
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
HERNANDO SKIN & CANCER CENTER P.A.
Practice address
12900 Cortez Blvd
Suite 205
Brooksville, FL 34613-6828
Phone
(352) 596-1117
Fax
(352) 596-9865
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Dr. Oliver Milton Reed, M.D.
Title
President/Physician
Phone
(352) 596-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

12900 Cortez Blvd
Suite 205
Brooksville, FL 34613-6828

Mailing address

12900 Cortez Blvd
Suite 205
Brooksville, FL 34613-6828
Phone (352) 596-1117

National Provider Directory

National Provider Directory

Locations

12900 Cortez Blvd
Ste 205
Brooksville, FL 34613
Phone (352) 484-1144

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1114235389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 CORTEZ BLVD",
            "address_2": "SUITE 205",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136828",
            "telephone_number": "352-596-1117",
            "fax_number": "352-596-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 CORTEZ BLVD",
            "address_2": "SUITE 205",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136828",
            "telephone_number": "352-596-1117",
            "fax_number": "352-596-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDO SKIN & CANCER CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "352-596-1117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.