Rederm PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

REDERM PLLC

Practice address

16133 Tuscany Hillside Rd
Odessa, FL 33556-2790

Phone

(253) 376-2388

NPI assigned

Sep 25, 2025

Organization subpart

No

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

Authorized official

Name

Ranj ShwanyNPI 1184354276

Title

Owner

Phone

(253) 376-2388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ranj Shwany

  • Nurse Practitioner
  • Renton, WA
  • NPI 1184354276

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1659244796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16133 TUSCANY HILLSIDE RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562790",
            "telephone_number": "253-376-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16133 TUSCANY HILLSIDE RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562790",
            "telephone_number": "253-376-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDERM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "SHWANY",
        "authorized_official_first_name": "RANJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-376-2388"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Odessa, FL
• Providers in Odessa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.