Individual provider Active NPI

Dante Michael Sorrentino, M.D.

  • Ophthalmology Physician
  • Fleming Island, FL
National Provider Identifier
1922418904
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME165056 Issued in FL
Practice address
1855 Eastwest Pkwy
Fleming Island, FL 32003-6348
Phone
(904) 272-2020
Fax
(904) 276-4386
NPI assigned
Apr 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 155316 CA
Ophthalmology Physician 207W00000X ME165056 FL Primary

Addresses

Primary practice location

1855 Eastwest Pkwy
Fleming Island, FL 32003-6348

Mailing address

1855 Eastwest Pkwy
Fleming Island, FL 32003-6348
Phone (904) 272-2020

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
I20240105001022 FL Practitioner - Ophthalmology 0446598528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harris Wilcox and Donovan PAGroup PAC ID 4981776333, 17 clinicians

Practice addresses (Care Compare)

2023 Professional Ctr Dr
Orange Park, FL 32073-4472
Phone (904) 272-2020

Merit-based Incentive Payment System (MIPS)

Final score
99.9 of 100Reported as group
Quality
99.8
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
155316CAMDMarriage & Family Therapist
ME165056FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Michaels Eye & Laser Institute Inc CurrentSince Jan 15, 2024 Accepting new patients
St Michaels Surgery Center Inc. CurrentSince Jan 15, 2024 Accepting new patients
Harris Wilcox and Donovan PA Ophthalmology CurrentSince Feb 1, 2025 Accepting new patients
Harris Wilcox and Donovan P a Ophthalmology CurrentSince Feb 1, 2025 Accepting new patients
Harris Wilcox and Donovan PA Ophthalmology Current Accepting new patients

Locations

1855 Eastwest Pkwy
Fleming Isle, FL 32003

11790 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 765-2020

1018 West Bay Dr
Largo, FL 33770
Phone (727) 585-2200

1030 West Bay Dr
Largo, FL 33770
Phone (727) 585-2200

1030 West Bay Dr
Ste 200
Largo, FL 33770
Phone (727) 585-2200

2023 Professional Center Dr
Orange Park, FL 32073
Phone 9042722020234

1670 Eagle Harbor Pkwy
Orange Park, FL 32003

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1922418904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 EASTWEST PKWY",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036348",
            "telephone_number": "904-272-2020",
            "fax_number": "904-276-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 EASTWEST PKWY",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320036348",
            "telephone_number": "904-272-2020",
            "fax_number": "904-276-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENTINO",
        "first_name": "DANTE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "155316",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME165056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.