Mid-Florida Skin Cancer Clinic

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME34331 Issued in FL

Legal business name

MID-FLORIDA SKIN CANCER CLINIC

Practice address

220 N Westmonte Dr
Suite a
Altamonte Springs, FL 32714

Phone

(407) 788-8900

Fax

(407) 788-8834

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Randall B Coverman, MD

Title

President

Phone

(407) 788-8900

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1811005341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N WESTMONTE DR",
            "address_2": "SUITE A",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N WESTMONTE DR",
            "address_2": "SUITE A",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32714",
            "telephone_number": "407-788-8900",
            "fax_number": "407-788-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-FLORIDA SKIN CANCER CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "COVERMAN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-788-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME34331",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME34331",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "FL",
            "license": "ME34331",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Fernanda Meza Martinez, MPH, RD
• Michael L. Weinstock, DDS, PA
• Deborah Michaud, LMHC
• Mid Florida Kidney and Hypertension Care PL
• Mid-Florida Orthopaedics PA
• Angeline Middlemass, RBT
• Migraine and Headache Center of Florida, LLC
• Angelica Elizabeth Mike
• German Mikheyev
• Milky Way Infant Wellness

• Dermatology Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.