Forefront Dermatology, S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FOREFRONT DERMATOLOGY, S.C.

Practice address

1035 Primera Blvd Ste 1041
Lake Mary, FL 32746-2193

Phone

(407) 992-0660

Fax

(407) 915-7226

NPI assigned

Dec 16, 2024

Organization subpart

No

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

Authorized official

Name

Betsy J Wernli, MD

Title

President

Phone

(920) 482-0671

Specialties & licenses 4

Addresses

Other names 1

• Knight Dermatology, A Forefront Dermatology Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 11

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

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Pensacola, FL
  • NPI 1083259642

  O20181019000122

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Miramar Beach, FL
  • NPI 1154815546

  O20181019000122

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Melbourne, FL
  • NPI 1427662071

  O20181019000122

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Pensacola, FL
  • NPI 1427853910

  O20181019000122

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Melbourne, FL
  • NPI 1467269217

  O20181019000122

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Melbourne, FL
  • NPI 1477370831

  O20181019000122

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Winter Park, FL
  • NPI 1639986490

  O20181019000122

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Panama City Beach, FL
  • NPI 1639998636

  O20181019000122

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Orlando, FL
  • NPI 1750198503

  O20181019000122

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Gainesville, FL
  • NPI 1790388957

  O20181019000122

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Fort Lauderdale, FL
  • NPI 1972266799

  O20181019000122

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Paul M Graham, DO, FAAD

  • Dermatology Physician
  • Ormond Beach, FL
  • NPI 1720406580
  NPD
• Paula Jeanine Walker, PA-C

  • Physician Assistant
  • Gainesville, FL
  • NPI 1023323938
  NPD

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1740097591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PRIMERA BLVD STE 1041",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462193",
            "telephone_number": "407-992-0660",
            "fax_number": "407-915-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "WERNLI",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-482-0671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knight Dermatology, A Forefront Dermatology Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cedricka C Fonsworth
• Serena Forbes
• Rion J Forconi, MD
• Lynn Heley Ford
• Savannah Nycole Ford
• Chynna Fort
• Foundations in Behavior, LLC
• Debbie Ann Fournier
• Dalia Fox, LCSW
• Rebecca Francis, ANRP

• Dermatology Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.