Individual provider Active NPI

Alexander Dane, D.O.

  • Dermatology Physician
  • Largo, FL
National Provider Identifier
1649619982
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS17405 Issued in FL
Practice address
8250 Bryan Dairy Rd Ste 250
Largo, FL 33777-1360
Phone
(866) 400-3376
Fax
(727) 393-5301
NPI assigned
Jun 20, 2013
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS17405 FL Primary

Addresses

Primary practice location

8250 Bryan Dairy Rd Ste 250
Largo, FL 33777-1360

Mailing address

151 Southhall LN Ste 300
Maitland, FL 32751-7172
Phone (866) 400-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210305000293 FL Practitioner - Dermatology 9032400742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Michigan State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8250 Bryan Dairy Rd
Suite 250
Largo, FL 33777-1360
Phone (727) 393-5300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision67
Removal of tissue1-10
Removal of skin lesions48
Removal of skin cancer747
Skin biopsy25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS17405FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince May 1, 2021 Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology CurrentSince May 1, 2021 Accepting new patients
Alliance Dermatology Physicians, P.C. Dermatology CurrentSince Feb 7, 2021 Accepting new patients
Advanced Ears Nose and Throat LLC Past Accepting new patients
Leavitt Medical Associates of Florida Inc Dermatology Past Accepting new patients
Clark Dermatology, LLC Dermatology PastSince May 11, 2025 Accepting new patients
North Jersey Dermatology Center, P.C. Dermatology Past Accepting new patients

Locations

26344 US Highway 19 N
Clearwater, FL 33761
Phone (727) 669-3676

202 Lake Miriam Dr
Ste 1
Lakeland, FL 33813
Phone (863) 647-2333

8250 Bryan Dairy Rd
Ste 250
Largo, FL 33777
Phone (727) 393-5300

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

8209 State Road 54
New Prt Rchy, FL 34655
Phone (727) 569-1055

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

5060 Commercial Way
Spring Hill, FL 34606
Phone (352) 592-9550

900 Carillon Pkwy
Ste 404
St Petersburg, FL 33716
Phone (727) 572-1333

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

29 Emmons Dr
Ste F20
Princeton, NJ 08540
Phone (609) 799-1600

11 Friends Ln
Ste 115
Newtown, PA 18940
Phone (609) 799-1600

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: alexander.dane@affiliateddermatologists.chartmakerdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1649619982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "866-400-3376",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 BRYAN DAIRY RD STE 250",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771360",
            "telephone_number": "866-400-3376",
            "fax_number": "727-393-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANE",
        "first_name": "ALEXANDER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS17405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.