My Dermatology & Cosmetic Center LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MY DERMATOLOGY & COSMETIC CENTER LLC

Practice address

818 Chestnut St
Clearwater, FL 33756-5642

Phone

(727) 295-7223

Fax

(727) 325-1060

NPI assigned

Oct 26, 2021

Last updated

Oct 26, 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

Hart Meyrich

Title

Business Manager

Phone

(407) 340-9039

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Leah Additon Michel, ARNP

  • Family Nurse Practitioner
  • Bradenton, FL
  • NPI 1528583788
  Medicare reassignment NPD

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1427712439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 CHESTNUT ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565642",
            "telephone_number": "727-295-7223",
            "fax_number": "727-325-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 CHESTNUT ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565642",
            "telephone_number": "727-295-7223",
            "fax_number": "727-325-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DERMATOLOGY & COSMETIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "MEYRICH",
        "authorized_official_first_name": "HART",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "407-340-9039"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Yvonne Musial, RD
• Karen Lisa Mutter, D.O.
• Asiyah Malakuta Muwwakkil
• MW Wellness Xiii (Medi Weightloss)
• My Choice Primary Care, PLLC
• My Medical Access LLP
• My Televisit MD LLC
• Myerlake Labs LLC Dba Pharmalabs
• Brelynn Myers
• Jaimie Nicole Myers, PHARMD CANDIDATE

• Family Nurse Practitioner in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.