Individual provider Active NPI

Mary Michael

  • Dermatology Physician
  • Boca Raton, FL
National Provider Identifier
1881213650
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS18944 Issued in FL
Practice address
1001 NW 13TH St Ste 100
Boca Raton, FL 33486-2269
Phone
(305) 740-6140
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OS18944 FL
Dermatology Physician 207N00000X OS18944 FL Primary

Addresses

Primary practice location

1001 NW 13TH St Ste 100
Boca Raton, FL 33486-2269

Mailing address

1906 Muirfield Way
Oldsmar, FL 34677-1935
Phone (727) 389-8252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220725001227 FL Practitioner - General Practice 6204217102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Group of Florida, P.a.Group PAC ID 1153367107, 54 clinicians

Practice addresses (Care Compare)

1001 NW 13TH St
Suite 100
Boca Raton, FL 33486-2269
Phone (561) 750-0544

Hospital & facility affiliations

  • Haven Home Health Care Home health agency, Boca Raton, FL, CCN 103153

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions131
Removal of skin cancer94
Skin biopsy56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Group of Florida, P.a. Dermatology CurrentSince Aug 18, 2025 Accepting new patients

Locations

1001 NW 13th St
Ste 100
Boca Raton, FL 33486
Phone (561) 750-0544

13732 17th St
Dade City, FL 33525
Phone (800) 809-4811

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

4200 N Armenia Ave
Ste 12
Tampa, FL 33607
Phone (813) 877-4811

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1881213650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 MUIRFIELD WAY",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346771935",
            "telephone_number": "727-389-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NW 13TH ST STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862269",
            "telephone_number": "305-740-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS18944",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS18944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.