Organization Active NPI

Bay Dermatology & Cosmetic Surgery, P.a.

  • Non-Pharmacy Dispensing Site
  • St Pete Beach, FL
National Provider Identifier
1740694942
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
BAY DERMATOLOGY & COSMETIC SURGERY, P.A.
Practice address
7500 Gulf Blvd
Suite B
St Pete Beach, FL 33706-1821
Phone
(727) 258-0625
Fax
(727) 360-1680
NPI assigned
Jun 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Dan Sultan
Title
Office Manager
Phone
(727) 266-3242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

7500 Gulf Blvd
Suite B
St Pete Beach, FL 33706-1821

Mailing address

4683 Chabot Dr Ste 200
C/O Advanced RX Management
Pleasanton, CA 94588-3829
Phone (925) 621-2900

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1007259Bay Dermatology and Cosmetic Surgery PA7500 Gulf Blvd Ste B, St Pete Beach, FL 33706ComplianceJul 20, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1740694942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4683 CHABOT DR STE 200",
            "address_2": "C/O ADVANCED RX MANAGEMENT",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883829",
            "telephone_number": "925-621-2900",
            "fax_number": "925-522-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 GULF BLVD",
            "address_2": "SUITE B",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337061821",
            "telephone_number": "727-258-0625",
            "fax_number": "727-360-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY DERMATOLOGY & COSMETIC SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-266-3242"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Pete Beach, FL

Sources for this page

  • 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 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.