Active NPI
Dermatology Associates of Central Florida PA
- Procedural Dermatology Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- ME66580
- Legal business name
- DERMATOLOGY ASSOCIATES OF CENTRAL FLORIDA PA
- Practice address
- 3670 Innovation Drive
Lakeland, FL 33812-4105 - Phone
- (863) 686-2282
- Fax
- (863) 686-2370
- NPI assigned
- Oct 24, 2007
- Last updated
- Aug 5, 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
- Dr. David G Yrastorza, MD
- Title
- President
- Phone
- (863) 686-2282
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | ME66580 | FL | Primary |
Addresses
Primary practice location
3670 Innovation Drive
Lakeland, FL 33812-4105
Mailing address
3670 Innovation Drive
Lakeland, FL 33812-4105
Phone (863) 686-2282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0977748 | Dermatology Associates of Central Florida | Compliance | Sep 27, 2026 |
National Provider Directory
National Provider DirectoryLocations
3670 Innovation Dr
Lakeland, FL 33812
Phone (863) 686-2282
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Procedural Dermatology Physician
- Lakeland, FL
- NPI 1255323978
-
- Medical Physician Assistant
- Lakeland, FL
- NPI 1972045870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754352000000",
"number": "1194914390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3670 INNOVATION DRIVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338124105",
"telephone_number": "863-686-2282",
"fax_number": "863-686-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3670 INNOVATION DRIVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338124105",
"telephone_number": "863-686-2282",
"fax_number": "863-686-2370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMATOLOGY ASSOCIATES OF CENTRAL FLORIDA PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A",
"authorized_official_last_name": "YRASTORZA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "863-686-2282",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "FL",
"license": "ME66580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.