Active NPI
Florida Comprehensive Dermatology
- Dermatology Physician
- Ocala, FL
National Provider Identifier
1114814332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- FLORIDA COMPREHENSIVE DERMATOLOGY
- Practice address
- 3520 NE 43Rd PL
Ocala, FL 34479-8899 - Phone
- (352) 738-7546
- Fax
- (352) 739-7546
- NPI assigned
- Jun 20, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brock Kreienbrink, RN
- Title
- Owner
- Phone
- (352) 738-7546
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Dermatopathology Physician | 207ND0900X | |||
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | |||
| Pediatric Dermatology Physician | 207NP0225X | |||
| Procedural Dermatology Physician | 207NS0135X |
Addresses
Primary practice location
3520 NE 43Rd PL
Ocala, FL 34479-8899
Mailing address
3520 NE 43Rd PL
Ocala, FL 34479-8899
Phone (352) 738-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11740 SW 97th Ter
Ste 200
Ocala, FL 34481
Phone (352) 237-0073
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Lakeland, FL
- NPI 1285034538
-
- Dermatology Physician
- Ocala, FL
- NPI 1851597009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750377600000",
"number": "1114814332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 NE 43RD PL",
"city": "OCALA",
"state": "FL",
"postal_code": "344798899",
"telephone_number": "352-738-7546",
"fax_number": "352-739-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 NE 43RD PL",
"city": "OCALA",
"state": "FL",
"postal_code": "344798899",
"telephone_number": "352-738-7546",
"fax_number": "352-739-7546"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA COMPREHENSIVE DERMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-20",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A",
"authorized_official_last_name": "KREIENBRINK",
"authorized_official_first_name": "BROCK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-738-7546",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Pediatric Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cardiology Associates of Ocala, LLC
- Florida Clinical Practice Association Inc (UF Health Family Medicine Ocala Heath Brook)
- Florida Community Advocates Central LLC
- Florida Department of Corrections
- Florida Department of Health
- Florida Em-I Medical Services PA
- Florida Em-I Medical Services PA
- Florida Eye Specialist Institute PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.