Active NPI
Bay Dermatology & Cosmetic Surgery, P.a.
- Non-Pharmacy Dispensing Site
- St Pete Beach, FL
National Provider Identifier
1740694942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1007259 | Bay Dermatology and Cosmetic Surgery PA | Compliance | Jul 20, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.