MEDICARE: DERMATOLOGY AND COSMETIC CENTER, P.A.

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	207ND0101X	MOHS-Micrographic Surgery Physician	OS8871	FL

General Provider Information

NPI Number	:	1932304888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DERMATOLOGY AND COSMETIC CENTER, P.A.

Provider Business Mailing Address
First Line	:	5353 N FEDERAL HWY STE 400
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3244
Country	:	US
Telephone Number	:	954-489-9800
Fax Number	:

Provider Business Practice Location Address
First Line	:	5353 N FEDERAL HWY STE 400
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-3244
Country	:	US
Telephone Number	:	954-489-9800
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KERRY ZIMMER
Credential	:
Telephone Number	:	954-772-0416

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	01/29/2013

Similar Medicare Providers

1225765241 — PROACTIVE MEDICAL GROUP LLC
Practice Location Address:

5353 N FEDERAL HWY STE 400
FORT LAUDERDALE, FL
33308-3244

Practice Phone: 954-938-2843
Practice Fax: 954-200-6689

1366698482 — RAINA SUSHIL GUPTA MD
Practice Location Address:

9110 COLLEGE POINTE CT
FORT MYERS, FL
33919-3244

Practice Phone: 239-208-2212
Practice Fax: 239-208-3994

1558636324 — CHRISTINA WOLINSKI
Practice Location Address:

3789 N BEACH ST , SUITE 213
FORT WORTH, TX
76137-3244

Practice Phone: 817-546-5251
Practice Fax: 817-546-5256

1245654565 — PALM BEACH BLVD DENTAL
Practice Location Address:

4901 PALM BEACH BLVD UNIT 110
FORT MYERS, FL
33905-3244

Practice Phone: 941-957-3703
Practice Fax:

1639565997 — BRIAN JAMES SORACE MD
Practice Location Address:

9110 COLLEGE POINTE CT
FORT MYERS, FL
33919-3244

Practice Phone: 239-208-2206
Practice Fax:

1942922687 — VIRTUAL NEUROLOGY KANSAS, LLC
Practice Location Address:

9110 COLLEGE POINTE CT
FORT MYERS, FL
33919-3244

Practice Phone: 239-208-2212
Practice Fax:

Directions to “DERMATOLOGY AND COSMETIC CENTER, P.A. ” 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.