Active NPI
Ivette M Sosa Seda, M.D.
- Dermatology Physician
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME133840
- Practice address
- 1100 S Ponce de Leon Blvd Ste 3B
St Augustine, FL 32084-6013 - Phone
- (813) 321-1786
- Fax
- (813) 321-1787
- NPI assigned
- Sep 11, 2008
- Last updated
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 17959 | PR | |
| Dermatology Physician | 207N00000X | ME133840 | FL | Primary |
Addresses
Primary practice location
1100 S Ponce de Leon Blvd Ste 3B
St Augustine, FL 32084-6013
Mailing address
18228 N US Highway 41
Lutz, FL 33549-4400
Phone (813) 321-1786
Other practice location 1
3200 3rd St S
Jacksonville Beach, FL 32250-6096
Phone (813) 321-1786
Other practice location 2
Urb Industrial Reparada 2 396 Dr Luis F Sala
Ponce, PR 00716-7004
Phone (787) 840-2317 ext. 5835
Other names 1
- Ivette Marie Sosa-Seda
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Puerto Rico School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
18228 N US Hwy 41
Lutz, FL 33549-4400
4414 Hunterston LN
Jacksonville, FL 32224-7629
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.5 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 61.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 15 |
| Removal of skin lesions | 795 |
| Removal or shaving of skin growth | 15 |
| Skin biopsy | 379 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17959 | PR | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Avenue Dermatology PA | Dermatology | Current | Accepting new patients |
| Florida ENT Associates, Inc. | Past | Accepting new patients | |
| Mary E. Schmieder DO. Facep, Inc | Past | Accepting new patients | |
| Suncoast Skin Solutions | Dermatology | Past | Accepting new patients |
Locations
15255 Max Leggett Pkwy
Ste 5000
Jacksonville, FL 32218
Phone (904) 541-0315
15255 Max Leggett Pkwy
Ste 5100
Jacksonville, FL 32218
Phone (904) 541-0315
1543 Kingsley Ave
Ste 16
Orange Park, FL 32073
Phone (904) 278-2246
1677 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 269-6538
906 Park Ave
Orange Park, FL 32073
Phone (904) 541-0315
Interoperability endpoints
- isosa@townederm.emadirect.md
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Orange Park, FL
- NPI 1205871001
-
dba South Florida ENT Associates, Inc.
- Otolaryngology Physician
- West Miami, FL
- NPI 1184625733
-
- Emergency Medicine Physician
- Orange Park, FL
- NPI 1396829347
-
- Dermatology Physician
- Lutz, FL
- NPI 1487827416
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
dba Shands Jacksonville
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1225287576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18228 N US HIGHWAY 41",
"city": "LUTZ",
"state": "FL",
"postal_code": "335494400",
"telephone_number": "813-321-1786",
"fax_number": "813-321-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S PONCE DE LEON BLVD STE 3B",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320846013",
"telephone_number": "813-321-1786",
"fax_number": "813-321-1787"
}
],
"practiceLocations": [
{
"address_1": "3200 3rd St S",
"address_purpose": "LOCATION",
"city": "Jacksonville Beach",
"state": "FL",
"postal_code": "322506096",
"country_code": "US",
"telephone_number": "813-321-1786",
"fax_number": "813-321-1787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "URB INDUSTRIAL REPARADA 2 396 DR LUIS F SALA",
"address_purpose": "LOCATION",
"city": "PONCE",
"state": "PR",
"postal_code": "007167004",
"country_code": "US",
"telephone_number": "787-840-2317 x5835",
"fax_number": "787-840-2317",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOSA SEDA",
"first_name": "IVETTE",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2026-09-14",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PR",
"license": "17959",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME133840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IVETTE",
"last_name": "SOSA-SEDA",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.