Brett Patrick Blake, M.D. – Dermatology Physician

Key facts

NPI: 1376772707
Entity type: Individual (NPI type 1)
Primary specialty: Dermatology Physician 207N00000X
License: ME125767 (FL)
Practice address: 525 N Dacie PT
Lecanto, FL 34461-8399
Phone: (813) 321-1786
Fax: (813) 321-1787
NPI assigned: Jul 7, 2009
Sex: Male
Sole proprietor: No

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 and National Provider Directory roles.

Aqua Dermatology of Florida, PA Dermatology Physician · Palm Beach Gardens, FL · NPI 1538270335

Medicare reassignment Care Compare group NPD DERMATOLOGY · FL
Suncoast Skin Solutions Dermatology Physician · Lutz, FL · NPI 1487827416

Medicare reassignment Care Compare group NPD DERMATOLOGY · FL
Naples Center for Dermatology & Riverchase Dermatology Durable Medical Equipment & Medical Supplies · Cape Coral, FL · NPI 1538645775

NPD
Douglas K Pierce MD PA Procedural Dermatology Physician · Largo, FL · NPI 1053515379

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Home Care of Tampa Bay, LLC Home Health Agency · Palmetto, FL · NPI 1295007219

Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty: Dermatology
Education: University of South Florida College of Medicine, 2009
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Aqua Dermatology of Florida, PA (184 clinicians)
Suncoast Skin Solutions (102 clinicians)

Practice addresses (Care Compare)

38162 Medical Ctr Ave
Zephyrhills, FL 33540-1380
Phone (813) 782-2165

525 N Dacie PT
Lecanto, FL 34461-8399
Phone (813) 321-1786

Hospital & facility affiliations

Residential Home Health of WC FL Home health agency · Palmetto, FL · CCN 103172

Merit-based Incentive Payment System (MIPS)

Final score: 100 of 100 (group)
Promoting interoperability: 100
Improvement activities: 40

Procedures performed for Medicare patients

Procedure	Number of procedures
Melanoma (skin cancer) excision	92
Removal of tissue	1-10
Removal of skin lesions	790
Removal of skin cancer	744
Removal of nail tissue	1-10
Removal or shaving of skin growth	73
Skin biopsy	214

Medicare participation

Medicare fee-for-service enrollment: Enrolled in FL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20160113000570	FL	Practitioner - Dermatology	2860632775	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
ME125767	FL	MD	Dermatology Physician

Practice roles (4 of 6)

Organization	Specialty	Status	New patients
Suncoast Skin Solutions	Dermatology	Current since Dec 3, 2025	Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology		Current since Jan 11, 2016	Accepting new patients
Aqua Dermatology of Florida, PA	Dermatology	Current since Jan 11, 2016	Accepting new patients
Douglas K Pierce MD PA		Past	Accepting new patients

Locations

14095 Cortez Blvd
Brooksville, FL 34613
Phone (352) 336-1840

15051 S Tamiami Trl
Ste 203
Fort Myers, FL 33908
Phone (239) 732-5959

8340 Lakewood Ranch Blvd
Ste 260
Lakewood Ranch, FL 34202
Phone (941) 218-1711

525 N Dacie Pt
Lecanto, FL 34461
Phone (352) 746-2200

608 S 9th St
Ste C
Leesburg, FL 34748
Phone (352) 787-4532

4651 Van Dyke Rd
Lutz, FL 33558

18228 N US Highway 41
Lutz, FL 33549

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542

2611 SE 17th St
Ste B
Ocala, FL 34471
Phone (352) 629-8881

9015 US Highway 301 N
Ste D1
Parrish, FL 34219
Phone (941) 776-1577

11200 Seminole Blvd
Ste 205
Seminole, FL 33778
Phone (727) 820-1786

1007 E Del Webb Blvd
Ste 101
Sun City Center, FL 33573
Phone (813) 634-1455

4002 Sun City Center Blvd
Unit 102
Sun City Ctr, FL 33573
Phone (813) 634-1455

38162 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 782-2165

Networks

Freedom Health HMO Network
Optimum HealthCare HMO Network

Interoperability endpoints

Direct secure messaging: bblake@aquadermatology.emadirect.md

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dermatology Physician	207N00000X	ME125767	FL	Yes
MOHS-Micrographic Surgery Physician	207ND0101X	ME125767	FL

Addresses

Primary practice location

525 N Dacie PT
Lecanto, FL 34461-8399

Mailing address

18228 N US Highway 41
Lutz, FL 33549-4400
Phone (813) 321-1786

Other providers in Lecanto, FL

Carmen M Besselli, LCSW
Best Care Senior Living at Lecanto LLC
Amy Bevard, PTA
Komala N Bhushan, M.D.
Glenda Sue Bivona, FNP-BC
Board of County Commissioners Citrus County
Ashley Danielle Boardman
Brian Keith Bonomo, PAC
Shenevia Nichole Bostick
Mary Beth Bottorf, APRN

All providers in Lecanto, FL · Dermatology Physician in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.