MEDICARE: DERMA DIRECT PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1912856543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DERMA DIRECT PLLC

Provider Business Mailing Address
First Line	:	905 W PLATT ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 W PLATT ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-2113
Country	:	US
Telephone Number	:	813-336-7688
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXANDRA GROB
Credential	:	DO
Telephone Number	:	813-336-7688

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

Similar Medicare Providers

1588759484 — R MAURICE BONILLA M D P A
Practice Location Address:

905 W PLATT ST
TAMPA, FL
33606-2113

Practice Phone: 813-254-0222
Practice Fax: 813-254-0204

1235331901 — DR. JONATHAN NOLEN BRUNER D.O.
Practice Location Address:

905 W PLATT ST
TAMPA, FL
33606-2113

Practice Phone: 813-485-5780
Practice Fax:

1588927354 — ALEXANDRA GROB D.O.
Practice Location Address:

905 W PLATT ST
TAMPA, FL
33606-2113

Practice Phone: 813-336-7688
Practice Fax:

1427927094 — OSTEOPATHIC MEDICINE TAMPA, PLLC
Practice Location Address:

905 W PLATT ST
TAMPA, FL
33606-2113

Practice Phone: 813-485-5780
Practice Fax:

1538135132 — PIER D. FRANK M.D.
Practice Location Address:

2707 N HIMES AVE
TAMPA, FL
33607-2113

Practice Phone: 813-962-0072
Practice Fax: 813-962-0343

1891942389 — DIVERSIFIED MEDICAL HEALTH INC
Practice Location Address:

2707 N HIMES AVE
TAMPA, FL
33607-2113

Practice Phone: 813-514-4564
Practice Fax: 813-879-7211

Directions to “DERMA DIRECT PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.