NPIMap

Organization Active NPI

Dermatology Group of Florida PA

  • Dermatology Physician
  • Tampa, FL
National Provider Identifier
1457156002
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY GROUP OF FLORIDA PA
Practice address
2127 W Dr Martin Luther King Jr Blvd Ste 630
Tampa, FL 33607-6511
Phone
(813) 877-4811
NPI assigned
Feb 18, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Nancy Seguin
Title
RCM VP
Phone
(954) 237-7090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

2127 W Dr Martin Luther King Jr Blvd Ste 630
Tampa, FL 33607-6511

Mailing address

4000 Hollywood Blvd Ste 215S
Hollywood, FL 33021-1227
Phone (573) 533-3386

National Provider Directory

National Provider Directory
Tax ID family
Dermatology Group of Florida PA25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

Locations

2127 W Dr Martin Luther King Jr Blvd
Ste 630
Tampa, FL 33607
Phone (813) 877-4811

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1457156002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HOLLYWOOD BLVD STE 215S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211227",
            "telephone_number": "573-533-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 W DR MARTIN LUTHER KING JR BLVD STE 630",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076511",
            "telephone_number": "813-877-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY GROUP OF FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "SEGUIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "RCM VP",
        "authorized_official_telephone_number": "954-237-7090"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.