Active NPI
Lacuyetunia S Todd, MD
- Dermatology Physician
- Pembroke Pines, FL
National Provider Identifier
1366491847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME55412
- Practice address
- 603 N Flamingo Rd
Suite 350
Pembroke Pines, FL 33028 - Phone
- (954) 435-5100
- Fax
- (954) 435-5816
- NPI assigned
- May 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME55412 | FL | Primary |
Addresses
Primary practice location
603 N Flamingo Rd
Suite 350
Pembroke Pines, FL 33028
Mailing address
603 N Flamingo Rd
Suite 350
Pembroke Pines, FL 33028
Phone (954) 435-5100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME55412 | FL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366491847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 N FLAMINGO RD",
"address_2": "SUITE 350",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33028",
"telephone_number": "954-435-5100",
"fax_number": "954-435-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 N FLAMINGO RD",
"address_2": "SUITE 350",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "33028",
"telephone_number": "954-435-5100",
"fax_number": "954-435-5816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "LACUYETUNIA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME55412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.