Dermatology Clinic of South Florida PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME87847 Issued in FL

Legal business name

DERMATOLOGY CLINIC OF SOUTH FLORIDA PA

Practice address

694 8TH St N
Naples, FL 34102-5523

Phone

(239) 775-3535

Fax

(239) 775-3636

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Caren F Mikesh, M.D.NPI 1770518144

Title

Medical Doctor

Phone

(239) 775-3535

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caren F Mikesh, M.D.

  • Procedural Dermatology Physician
  • Naples, FL
  • NPI 1770518144
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1902967375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 8TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025523",
            "telephone_number": "239-775-3535",
            "fax_number": "239-775-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 8TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025523",
            "telephone_number": "239-775-3535",
            "fax_number": "239-775-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY CLINIC OF SOUTH FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "MIKESH",
        "authorized_official_first_name": "CAREN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "239-775-3535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME87847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "81413",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Scott Denunzio, D.C.
• Matthew Jordan Denunzio, M.D.
• Alexandria Depasquale, DPT
• Catherine Ann Derenzo, DPT
• Dermatology & Dermasurgery of Naples PA
• Dermatology Group of Florida PA
• Dermatology Specialists of Naples Inc
• Paul David Dernbach, ME
• Jack Derovanesian, MD
• Jamillia Dervil

• Dermatology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.