NPIMap

Organization Active NPI

Skin Wellness Physicians, LLC

  • Dermatology Physician
  • Naples, FL
National Provider Identifier
1275952244
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME107188 Issued in FL
Legal business name
SKIN WELLNESS PHYSICIANS, LLC
Practice address
8625 Collier Blvd Unit 101
Naples, FL 34114-3636
Phone
(239) 732-0044
Fax
(239) 732-0094
NPI assigned
Apr 7, 2014
Last updated
Dec 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Dr. Daniel I Wasserman, MDNPI 1881758977
Title
Owner
Phone
(239) 732-0044

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)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME107188 FL Primary

Addresses

Primary practice location

8625 Collier Blvd Unit 101
Naples, FL 34114-3636

Mailing address

8625 Collier Blvd
Naples, FL 34114-3601
Phone (239) 732-0044

Other practice location 1

1300 Goodlette Rd Ste 101
Naples, FL 34102-5244
Phone (239) 732-0044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140821002617 FL Part B Supplier - Clinic/Group Practice 7911125661 Receives reassigned benefits from 12 practitioners
Practice locations: Naples, FL; Marco Island, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2079438Skin Wellness Physicians LLC8625 Collier Blvd, Naples, FL 34114ComplianceJul 23, 2028

National Provider Directory

National Provider Directory

Locations

1300 Goodlette Rd
Naples, FL 34102
Phone (239) 732-0044

1300 Goodlette Rd
Ste 101
Naples, FL 34102
Phone (239) 732-0044

8625 Collier Blvd
Unit 101
Naples, FL 34114
Phone (239) 732-0044

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1275952244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8625 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143601",
            "telephone_number": "239-732-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 COLLIER BLVD UNIT 101",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341143636",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Goodlette Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025244",
            "country_code": "US",
            "telephone_number": "239-732-0044",
            "fax_number": "239-732-0094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKIN WELLNESS PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-732-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME107188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.