Mid-Florida Dermatology Associates

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MID-FLORIDA DERMATOLOGY ASSOCIATES

Practice address

261 E Airport Blvd
Sanford, FL 32773-8002

Phone

(407) 299-7333

Fax

(407) 293-2049

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rita Dobson

Title

Credentialing Dir.

Phone

(407) 299-7333

Specialties & licenses 1

Addresses

Tax ID family

Mid-Florida Dermatology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mid-Florida Dermatology Associates

  • Dermatology Physician
  • Lake Wales, FL
  • NPI 1669147278
  NPD tax ID

Locations

Practitioners 8

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.

• Jessica Navarro

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1104499292
  NPD
• Satya Devi Son, NP

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1558002907
  NPD
• Jessica Wong

  • Nurse Practitioner
  • Orlando, FL
  • NPI 1568003465
  NPD
• Hugo Vincent Hart, MD

  • Surgery Physician
  • Orlando, FL
  • NPI 1730150509
  NPD (past)
• Laura L Mays, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1508809310
  NPD (past)
• Mickelle Riley, ARNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1124203294
  NPD (past)
• Kelsey Roberts, APRN

  • Family Nurse Practitioner
  • New Smyrna, FL
  • NPI 1679152300
  NPD (past)
• Frank P Campisi, MD

  • Surgery Physician
  • Metairie, LA
  • NPI 1528166659
  NPD (past)

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1326616285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 ASHLEY PARK CT STE 306",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356199",
            "telephone_number": "407-299-7333",
            "fax_number": "407-293-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 E AIRPORT BLVD",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327738002",
            "telephone_number": "407-299-7333",
            "fax_number": "407-293-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CREDENTIALING DIR.",
        "authorized_official_telephone_number": "407-299-7333"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mid Florida Rheumatology and Arthritis Center LLC
• Mid-Florida Gastroenterology Group P a
• Mid-Florida Group of Specialists LLC
• Midway Premier Dental, LLC
• Michele Selon Miles, OTR
• Milestones Children's Therapy Center, LLC

• Dermatology Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.