Individual provider Active NPI

Matthew Brent Zook, MD, PHD

  • Dermatology Physician
  • St Petersburg, FL
National Provider Identifier
1275740391
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME111413 Issued in FL
Practice address
3950 3Rd St N Ste a
St Petersburg, FL 33703-6123
Phone
(727) 821-0612
Fax
(727) 822-5507
NPI assigned
May 17, 2007
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME111413 FL Primary
Dermatology Physician 207N00000X MD436516 PA
MOHS-Micrographic Surgery Physician 207ND0101X ME111413 FL
Pediatric Dermatology Physician 207NP0225X ME111413 FL
Procedural Dermatology Physician 207NS0135X ME111413 FL

Addresses

Primary practice location

3950 3Rd St N Ste a
St Petersburg, FL 33703-6123

Mailing address

PO Box 23329
New York, NY 10087-3329

Other practice location 1

915 Chestnut St Ste 200
Clearwater, FL 33756-5643
Phone (727) 442-1917

Other practice location 2

6600 University Pkwy Ste 302
Sarasota, FL 34240-9048
Phone (941) 800-5001

Other practice location 3

6331 Memorial Hwy Ste D
Tampa, FL 33615-4537
Phone (813) 882-9986

Other practice location 4

1260 W Bay Dr Ste Candf
Largo, FL 33770-2284
Phone (727) 935-0500

Other practice location 5

6776 54th Ave N
St Petersburg, FL 33709-1405
Phone (727) 935-0510

Other identifiers 1

IdentifierTypeStateIssuer
004343200MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111227000461 FL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 3577611854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Jefferson Medical College of Thomas Jefferson University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Alliance in Dermatology IncGroup PAC ID 8729077938, 46 clinicians

Practice addresses (Care Compare)

1201 S Myrtle Ave
Clearwater, FL 33756-3424
Phone (727) 442-1917

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision121
Removal of tissue1-10
Removal of skin lesions1039
Removal of skin cancer365
Removal or shaving of skin growth12
Skin biopsy264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
ME111413FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology CurrentSince Jun 1, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology CurrentSince Jan 1, 2013 Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology CurrentSince Apr 27, 2025 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology Past Accepting new patients
Health Services of Fox Chase Cancer Center Dermatology Past Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology PastSince Jun 6, 2021 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology Past Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology PastSince Apr 27, 2025 Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology PastSince Jun 15, 2021 Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology PastSince Jun 15, 2021 Accepting new patients
Academic Alliance in Dermatology, PLLC Dermatology PastSince Jun 15, 2021 Accepting new patients

Locations

1201 S Myrtle Ave
Clearwater, FL 33756
Phone (727) 442-1917

1801 N Belcher Rd
Ste B
Clearwater, FL 33765
Phone (727) 669-3676

3190 N McMullen Booth Rd
Ste 203
Clearwater, FL 33761
Phone (727) 258-9143

915 Chestnut St
Ste 200
Clearwater, FL 33756
Phone (727) 442-1917

13910 Fivay Rd
Ste 5
Hudson, FL 34667
Phone (727) 259-7930

1260 West Bay Dr
Largo, FL 33770
Phone (727) 641-0218

1260 West Bay Dr
Ste C
Largo, FL 33770
Phone (717) 935-0500

1301 2nd Ave SW
Fl 5
Largo, FL 33770
Phone (727) 341-0551

1503 W Reynolds St
Plant City, FL 33563
Phone (813) 514-4688

6901 Simmons Loop
Ste 207
Riverview, FL 33578
Phone (813) 868-3052

6600 University Pkwy
Ste 302
Sarasota, FL 34240
Phone (941) 800-5001

3950 3rd St N
Ste A
St Petersburg, FL 33703
Phone (727) 821-0612

6776 54th Ave N
St Petersburg, FL 33709
Phone (727) 547-8676

13321 N 56th St
Tampa, FL 33617
Phone (813) 341-1488

2919 W Swann Ave
Ste 205
Tampa, FL 33609
Phone (813) 514-8985

4238 W Kennedy Blvd
Tampa, FL 33609
Phone (813) 870-2528

4700 N Habana Ave
Ste 303
Tampa, FL 33614
Phone (813) 341-3285

5210 Webb Rd
Tampa, FL 33615
Phone (813) 882-9986

6331 Memorial Hwy
Ste D
Tampa, FL 33615
Phone (813) 882-9986

1005 E Boyer St
Tarpon Springs, FL 34689
Phone (727) 934-7638

2044 Trinity Oaks Blvd
Ste 130
Trinity, FL 34655
Phone (727) 375-0601

2438 Bloomingdale Ave
Valrico, FL 33596
Phone (813) 440-5544

2412 Cypress Glen Dr
Ste 102
Wesley Chapel, FL 33544
Phone (813) 341-1480

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: mzook@aadermaffiliates.emadirect.md
  • Direct secure messaging: mzook188975@orlandohealth.medalliesdirect.net
  • Direct secure messaging: mzook81310@direct.tgh.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1275740391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 3RD ST N STE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337036123",
            "telephone_number": "727-821-0612",
            "fax_number": "727-822-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Chestnut St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337565643",
            "country_code": "US",
            "telephone_number": "727-442-1917",
            "fax_number": "727-219-2446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 University Pkwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342409048",
            "country_code": "US",
            "telephone_number": "941-800-5001",
            "fax_number": "941-800-5012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6331 Memorial Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336154537",
            "country_code": "US",
            "telephone_number": "813-882-9986",
            "fax_number": "813-882-9849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1260 W Bay Dr Ste Candf",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702284",
            "country_code": "US",
            "telephone_number": "727-935-0500",
            "fax_number": "727-935-0501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6776 54th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337091405",
            "country_code": "US",
            "telephone_number": "727-935-0510",
            "fax_number": "727-935-0511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOOK",
        "first_name": "MATTHEW",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME111413",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD436516",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME111413",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "FL",
            "license": "ME111413",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME111413",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004343200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.