Active NPI
On Site Dermatology LLC
- Dermatology Physician
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ON SITE DERMATOLOGY LLC
- Practice address
- 4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450 - Phone
- (877) 345-5300
- NPI assigned
- Jun 8, 2006
- Last updated
- Jan 22, 2026
- 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
- Mr. Jeffrey Queen
- Title
- President
- Phone
- (561) 314-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Mailing address
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 314-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NH, OH, DE, VA, DC
Enrollment records 6
National Provider Directory
National Provider DirectoryLocations (25 of 76)
8000 Society Dr
#B
Claymont, DE 19703
501 S Harmony Rd
Newark, DE 19713
Phone (302) 266-9255
8279 E Club Rd
Boca Raton, FL 33433
902 Clint Moore Rd
#227
Boca Raton, FL 33487
Phone (516) 314-2000
1714 14th St W
Bradenton, FL 34205
6101 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 795-5533
121 NE 10th Pl
Cape Coral, FL 33909
1318 Santa Barbara Blvd
Cape Coral, FL 33991
Phone (239) 288-8502
1435 Santa Barbara Blvd
Cape Coral, FL 33991
1906 Skyline Blvd
Cape Coral, FL 33991
Phone (989) 598-7822
831 Santa Barbara Blvd
Cape Coral, FL 33991
Phone (239) 237-3124
1100 Ponce de Leon Blvd
Clearwater, FL 33756
Phone (727) 240-2837
2425 N McMullen Booth Rd
Clearwater, FL 33759
Phone (727) 758-7945
2701 Regency Oaks Blvd
Clearwater, FL 33759
Phone (727) 288-2345
2794 S Flamingo Rd
Davie, FL 33330
Phone (754) 216-8743
252 Forest Lake Blvd
Daytona Beach, FL 32119
Phone (386) 304-7842
7255 Strive Pl
Fern Park, FL 32730
Phone (407) 848-1743
8351 College Pkwy
Fort Myers, FL 33919
Phone (239) 201-2252
5190 E 8th Ave
Hialeah, FL 33013
Phone (305) 685-5136
1835 Wilson St
Hollywood, FL 33020
Phone (561) 960-2020
550 Hope Cir
Immokalee, FL 34142
12350 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 252-3357
14199 Wm Davis Pkwy
Jacksonville, FL 32224
Phone (904) 821-9900
5760 Timuquana Rd
Jacksonville, FL 32210
Phone (904) 701-7227
601 N Newnan St
Jacksonville, FL 32202
Practitioners & affiliated clinicians
Practitioners 75
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.
-
- Nurse Practitioner
- Boca Raton, FL
- NPI 1861372138
-
- Adult Health Nurse Practitioner
- Casselberry, FL
- NPI 1487969101
-
- Family Nurse Practitioner
- Tequesta, FL
- NPI 1225722721
-
- Adult Health Nurse Practitioner
- Wilmington, DE
- NPI 1396830899
-
- Physician Assistant
- Boca Raton, FL
- NPI 1770816308
-
- Physician Assistant
- Plantation, FL
- NPI 1568717536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769040000000",
"number": "1215978713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 EXCHANGE CT STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314450",
"telephone_number": "561-314-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 EXCHANGE CT STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314450",
"telephone_number": "877-345-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON SITE DERMATOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A",
"authorized_official_last_name": "QUEEN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-314-2000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
- Omnicare (RxConsults)
- Omnicare (compscript)
- On Call Nursing LLC (On Call Nursing)
- On Point Acupuncture LLC
- On Pointe Physical Therapy, LLC
- On Site Dermatology of Maine LLC
- On Site Dermatology of South Carolina LLC
- On the Run Physiotherapy LLC (On the Run Physical Therapy)
- On Time Care LLC
- On-Site Pathology LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.