Organization Active NPI

Michael G Caruso MD PA

  • Dermatology Physician
  • Sun City Center, FL
National Provider Identifier
1649266172
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MICHAEL G CARUSO MD PA
Practice address
4002 Sun City Center Blvd
Unit 102
Sun City Center, FL 33573-5208
Phone
(813) 634-1455
Fax
(813) 642-8355
NPI assigned
Sep 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Dr. Michael G Caruso, MD
Title
President
Phone
(813) 634-1455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X FL Primary

Addresses

Primary practice location

4002 Sun City Center Blvd
Unit 102
Sun City Center, FL 33573-5208

Mailing address

4002 Sun City Center Blvd
Unit 102
Sun City Center, FL 33573-5208
Phone (813) 634-1455

National Provider Directory

National Provider Directory

Locations

8959 US Highway 301 N
Parrish, FL 34219
Phone (941) 776-1577

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

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1649266172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 SUN CITY CENTER BLVD",
            "address_2": "UNIT 102",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735208",
            "telephone_number": "813-634-1455",
            "fax_number": "813-642-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 SUN CITY CENTER BLVD",
            "address_2": "UNIT 102",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735208",
            "telephone_number": "813-634-1455",
            "fax_number": "813-642-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G CARUSO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "CARUSO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-634-1455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.