Dermatology Solutions a Profession Limited Liability Com

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME68928 Issued in FL

Legal business name

DERMATOLOGY SOLUTIONS A PROFESSION LIMITED LIABILITY COM

Practice address

14071 Metropolis Ave
Fort Myers, FL 33912-4330

Phone

(239) 694-7546

NPI assigned

May 12, 2008

Last updated

Aug 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Debra D Fett Desmond, M.D.NPI 1386686020

Title

President

Phone

(239) 694-7546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra D Fett Desmond, M.D.

  • Dermatology Physician
  • Fort Myers, FL
  • NPI 1386686020
  Medicare reassignment Care Compare group NPD Authorized official
• Juliana Escudero

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1255902946
  Medicare reassignment Care Compare group NPD
• Kimberly Ann Mancl, MD

  • Dermatology Physician
  • Fort Myers, FL
  • NPI 1346582756
  Medicare reassignment Care Compare group NPD
• Jenna Marie Hartt, PA

  • Physician Assistant
  • Fort Myers, FL
  • NPI 1447831953
  Medicare reassignment Care Compare group
• Mary Frances Pilcher

  • MOHS-Micrographic Surgery Physician
  • Fort Myers, FL
  • NPI 1033352695
  Medicare reassignment Care Compare group
• Jessica Senge, PA

  • Medical Physician Assistant
  • Bronx, NY
  • NPI 1295070035

  FL

  Medicare reassignment Care Compare group
• Cynthia A Feagan, ARNP

  • Nurse Practitioner
  • Fort Myers, FL
  • NPI 1881674901
  Medicare reassignment NPD
• Elizabeth Dana Jaffe, PA-C

  • Physician Assistant
  • Clifton Springs, NY
  • NPI 1700155686

  FL

  Medicare reassignment
• Kristin C. Beal, PA-C

  • Physician Assistant
  • Naples, FL
  • NPI 1053959098
  NPD (past)

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628899200000",
    "number": "1750558516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14071 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124330",
            "telephone_number": "239-694-7546",
            "fax_number": "239-694-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14071 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124330",
            "telephone_number": "239-694-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SOLUTIONS A PROFESSION LIMITED LIABILITY COM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A",
        "authorized_official_last_name": "FETT DESMOND",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-694-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME68928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Deragon, DMD
• Michael Ryan Derhodge, O.D.
• Stephanie Lynn Deriso, PTA
• Dermatologic and Cosmetic Surgery
• Dermatology Group of Florida PA
• Rebecca Marie Deroche, PMHNP
• Shreeya Desai, DMD
• Christopher Michael Desantis, P.T.
• Maria Descartes
• Megan E Deselms, PA-C

• Dermatology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.