Individual provider Active NPI

Connie Jane Lago, MD

  • Dermatology Physician
  • Riverview, FL
National Provider Identifier
1932736865
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME167839 Issued in FL
Practice address
9598 US Highway 301 S
Riverview, FL 33578-5429
Phone
(866) 400-3376
NPI assigned
Mar 23, 2020
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME167839 FL Primary

Addresses

Primary practice location

9598 US Highway 301 S
Riverview, FL 33578-5429

Mailing address

151 Southhall LN Ste 300
Maitland, FL 32751-7172
Phone (866) 400-3376

Other practice location 1

5310 Clark Rd Ste 201
Sarasota, FL 34233-3229
Phone (941) 925-3627

Other practice location 2

1801 S Osprey Ave Unit 201
Sarasota, FL 34239-3625
Phone (941) 957-4767

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
I20240807000063 FL Practitioner - Dermatology 7113328774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Morehouse School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Harbor Dermatology PAGroup PAC ID 4789758558, 33 clinicians

Practice addresses (Care Compare)

5310 Clark Rd
Suite 201
Sarasota, FL 34233-3229
Phone (941) 925-3627

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision126
Removal of skin lesions1450
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy529

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME167839FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emily F Arsenault MD PA Dermatology CurrentSince Aug 31, 2024 Accepting new patients
Scripps Health Current Accepting new patients
Palm Harbor Dermatology PA Dermatology CurrentSince Apr 1, 2025 Accepting new patients
Private Diagnostic Clinic, PLLC Dermatology PastSince May 1, 2024 Accepting new patients

Locations

5860 Ranch Lake Blvd
Ste 103
Lakewood Ranch, FL 34202
Phone (941) 907-0222

8926 77th Ter E
Unit 101
Lakewood Ranch, FL 34202
Phone (941) 264-1153

4197 Woodlands Pkwy
Palm Harbor, FL 34685
Phone (727) 786-3810

1801 S Osprey Ave
Unit 201
Sarasota, FL 34239
Phone (941) 957-4767

5310 Clark Rd
Ste 201
Sarasota, FL 34233
Phone (941) 925-3627

1545 Mound St
Sarasota, FL 34236
Phone (941) 957-3376

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ckha375837@scrippshlth.medalliesdirect.net
  • Direct secure messaging: clago@dmp.emadirect.md

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1932736865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "866-400-3376",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9598 US HIGHWAY 301 S",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785429",
            "telephone_number": "866-400-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 Clark Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342333229",
            "country_code": "US",
            "telephone_number": "941-925-3627",
            "fax_number": "866-405-4932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 S Osprey Ave Unit 201",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342393625",
            "country_code": "US",
            "telephone_number": "941-957-4767",
            "fax_number": "941-955-7334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGO",
        "first_name": "CONNIE",
        "middle_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME167839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.