Mid-Florida Dermatology Associates P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MID-FLORIDA DERMATOLOGY ASSOCIATES P.A.

Doing business as

NOLA Dermatology

Practice address

7652 Ashley Park CT
Suite 305
Orlando, FL 32835-6199

Phone

(407) 299-7333

Fax

(407) 293-2049

NPI assigned

Feb 12, 2007

Last updated

Mar 8, 2023By 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 K Dobson

Title

Credentialing Dir.

Phone

(407) 299-7333

Specialties & licenses 2

Addresses

Other names 1

• NOLA Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mid-Florida Dermatology Associates

  dba Hunter Phillips Dermatology

  • Specialist
  • Orlando, FL
  • NPI 1952716516

  1254233786

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mid-Florida Dermatology Associates

  • Specialist
  • Orlando, FL
  • NPI 1043341548

  O20051018000717

  Same enrollment

Locations (25 of 30)

Practitioners 113

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 Nicole Bartlett, APRN

  • Family Nurse Practitioner
  • Melbourne, FL
  • NPI 1619533940
  Medicare reassignment Care Compare group NPD
• Sydney Mae Byers

  • Medical Physician Assistant
  • Orlando, FL
  • NPI 1487350807
  Medicare reassignment Care Compare group NPD
• Lina Maria Cardona, M.D.

  • Dermatology Physician
  • Orlando, FL
  • NPI 1932490778
  Medicare reassignment Care Compare group NPD
• Meghan Kathleen Ciccarello, DNP

  • Family Nurse Practitioner
  • Winter Park, FL
  • NPI 1336758101
  Medicare reassignment Care Compare group NPD
• Grace Ellen Davis, APRN

  • Family Nurse Practitioner
  • Edgewater, FL
  • NPI 1376181057
  Medicare reassignment Care Compare group NPD
• Jennifer Dembowski, APRN

  • Family Nurse Practitioner
  • New Smyrna Beach, FL
  • NPI 1801571781
  Medicare reassignment Care Compare group NPD
• Alicia Doan, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1548009962
  Medicare reassignment Care Compare group NPD
• Elisa D. Endicott, P.A.

  • Dermatology Physician
  • Orlando, FL
  • NPI 1558314963
  Medicare reassignment Care Compare group NPD
• Kanisha Everette, APRN

  • Family Nurse Practitioner
  • Clermont, FL
  • NPI 1508547399
  Medicare reassignment Care Compare group NPD
• Courtney Carroll Frazier, ARNP

  • Family Nurse Practitioner
  • Sebastian, FL
  • NPI 1194229724
  Medicare reassignment Care Compare group NPD
• Andrew Fritze, M.D.

  • Surgery Physician
  • Daytona Beach, FL
  • NPI 1548674724
  Medicare reassignment Care Compare group NPD
• Candace Jordan Glenn, M.D.

  • Dermatology Physician
  • Gainesville, FL
  • NPI 1154681039
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1619018561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7652 ASHLEY PARK CT",
            "address_2": "SUITE 305",
            "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": "7652 ASHLEY PARK CT",
            "address_2": "SUITE 305",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328356199",
            "telephone_number": "407-299-7333",
            "fax_number": "407-293-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA DERMATOLOGY ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CREDENTIALING DIR.",
        "authorized_official_telephone_number": "407-299-7333"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOLA Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NOLA Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mid Florida Adult Medicine, LLC
• Mid Florida Health, Inc.
• Mid-Florida Cardiology Specialists
• Mid-Florida Dermatology Associates
• Mid-Florida Dermatology Associates (Hunter Phillips Dermatology)
• Mid-Florida Endodontics - Dr. Phillips, PLLC
• Mid-Florida Rheumatology LLC
• Mid-Florida Urological Associates PA
• Charisse Middleton
• Michael A Middleton, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.