Active NPI 1336178953 Individual Practitioner Male Practitioner

Dr. Robert P Finkelstein , DO

Dermatology • Sarasota, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Finkelstein, DO is a certified Dermatology practicing in Sarasota, FL. With approximately 36 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 1990, Dr. Finkelstein delivers high-quality medical care to the local community at 6771 PROFESSIONAL PKWY W STE 203.

Dr. Finkelstein is affiliated with Premier Dermatology, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, tildrakizumab, 1 mg, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6771 Professional Pkwy W Ste 203

Sarasota, FL 342408460

Telephone 9419077372

Associated Practice Facility / Clinic

🏢 Robert P.finkelstein,d.o., P.a. Facility NPI 1548329774

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Sarasota, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +9.1 yrs vs City Avg

City Avg: 26.9 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

37 Specialists

Practicing in Sarasota, FL (1273 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Finkelstein (36 Years) 36 Yrs

Sarasota Specialty Average (26.9 Years) 26.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3245 Injection, tildrakizumab, 1 mg	7,400	25	$275.05	$135.18
17003 Destruction of precancer skin growth, 2-14 growths	2,044	427	$12.62	$6.42
99213 Established patient office or other outpatient visit, typically 15 minutes	1,418	1,026	$178.76	$90.83
17000 Destruction of skin growth	894	645	$131.64	$53.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	817	531	$252.51	$128.23
17110 Destruction of up to 14 skin growths	554	424	$219.11	$109.99
11102 Tangential biopsy of single skin lesion	384	330	$193.22	$87.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	249	40	$1.99	$0.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	125	$110.86	$56.48
11103 Biopsy of related skin growth, each additional growth	117	82	$97.04	$49.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	115	53	$27.82	$14.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$220.82	$112.33
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	93	79	$789.91	$385.12
96574 Application of light with debridement to destroy precancer skin growth	83	73	$477.46	$267.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$331.09	$168.53
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	64	53	$347.56	$163.69
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	38	30	$287.68	$131.10
11900 Injection into skin growth, 1-7 growths	30	18	$112.02	$44.76
69100 Biopsy of ear	29	27	$185.27	$75.06
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	25	$477.81	$131.66
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	23	$590.54	$300.93
11104 Punch biopsy, first skin growth	22	20	$241.40	$123.02
17111 Destruction of skin growth, 15 or more growths	20	14	$256.86	$130.86
17004 Destruction of precancer skin growth, 15 or more growths	19	15	$324.74	$166.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3245 Injection, tildrakizumab, 1 mg	7,700	22	$281.27	$138.39
17003 Destruction of precancer skin growth, 2-14 growths	1,750	408	$12.88	$6.41
99213 Established patient office or other outpatient visit, typically 15 minutes	1,486	995	$179.22	$89.40
17000 Destruction of skin growth	926	639	$132.44	$52.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	704	502	$253.73	$126.65
17110 Destruction of up to 14 skin growths	447	369	$222.31	$109.89
11102 Tangential biopsy of single skin lesion	442	371	$199.17	$91.19
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	213	26	$2.20	$1.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	177	177	$224.12	$112.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	113	$111.82	$55.69
11103 Biopsy of related skin growth, each additional growth	118	83	$99.02	$49.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	104	44	$27.79	$13.90
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	99	84	$782.16	$378.21
96574 Application of light with debridement to destroy precancer skin growth	82	72	$477.46	$265.87
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	70	59	$354.01	$168.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$332.97	$166.64
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	31	29	$291.75	$134.23
69100 Biopsy of ear	30	28	$191.21	$78.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	28	$600.96	$290.96
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	24	$484.59	$119.03
11104 Punch biopsy, first skin growth	24	22	$246.65	$123.84
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$143.02	$71.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3245 Injection, tildrakizumab, 1 mg	7,000	19	$270.48	$133.90
99213 Established patient office or other outpatient visit, typically 15 minutes	1,454	899	$181.80	$89.63
17003 Destruction of precancer skin growth, 2-14 growths	1,322	331	$13.16	$6.45
17000 Destruction of skin growth	752	526	$134.30	$55.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	417	302	$255.94	$125.94
17110 Destruction of up to 14 skin growths	343	269	$224.72	$109.92
11102 Tangential biopsy of single skin lesion	303	257	$203.42	$93.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	248	34	$2.34	$1.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	169	169	$226.40	$111.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	123	$113.24	$55.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	101	43	$28.36	$14.03
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	98	75	$784.39	$378.07
96574 Application of light with debridement to destroy precancer skin growth	90	69	$477.46	$271.89
11103 Biopsy of related skin growth, each additional growth	71	55	$101.76	$50.42
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	35	30	$357.16	$171.77
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	27	25	$606.78	$295.01
69100 Biopsy of ear	25	22	$193.68	$72.93
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	23	$490.00	$121.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$337.66	$167.49
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$146.10	$72.44
11104 Punch biopsy, first skin growth	19	19	$252.90	$118.47
11900 Injection into skin growth, 1-7 growths	13	13	$113.10	$51.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3245 Injection, tildrakizumab, 1 mg	6,500	19	$268.82	$134.41
17003 Destruction of precancer skin growth, 2-14 growths	1,181	315	$12.67	$6.38
99213 Established patient office or other outpatient visit, typically 15 minutes	916	617	$182.67	$91.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	675	522	$258.99	$130.78
17000 Destruction of skin growth	655	434	$130.98	$55.65
11102 Tangential biopsy of single skin lesion	300	253	$204.69	$97.15
17110 Destruction of up to 14 skin growths	253	210	$223.50	$110.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	209	27	$2.53	$1.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	147	147	$225.70	$112.65
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	126	101	$778.20	$380.39
96574 Application of light with debridement to destroy precancer skin growth	119	96	$477.46	$282.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	118	108	$111.73	$55.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	86	33	$27.97	$14.13
11103 Biopsy of related skin growth, each additional growth	80	59	$104.67	$52.94
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	52	42	$354.87	$163.95
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	27	$614.17	$310.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$338.12	$170.99
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$146.00	$73.75
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	22	$495.36	$130.65
69100 Biopsy of ear	21	20	$197.26	$90.23
11104 Punch biopsy, first skin growth	19	19	$256.97	$129.95
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	13	$294.74	$124.33
11900 Injection into skin growth, 1-7 growths	11	11	$112.64	$46.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3245 Injection, tildrakizumab, 1 mg	4,200	13	$270.81	$134.90
17003 Destruction of precancer skin growth, 2-14 growths	1,071	264	$11.75	$5.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	883	685	$218.06	$109.94
99213 Established patient office or other outpatient visit, typically 15 minutes	757	437	$150.50	$75.43
17000 Destruction of skin growth	563	416	$130.52	$56.48
11102 Tangential biopsy of single skin lesion	264	226	$198.97	$95.42
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	258	23	$2.97	$1.48
17110 Destruction of up to 14 skin growths	182	155	$221.64	$110.61
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	116	93	$788.06	$382.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$216.50	$109.11
96574 Application of light with debridement to destroy precancer skin growth	96	81	$477.46	$258.33
11103 Biopsy of related skin growth, each additional growth	83	59	$106.12	$53.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	30	$28.29	$14.27
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$152.54	$75.38
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	40	34	$353.14	$162.27
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	31	$495.91	$124.74
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	31	$604.75	$300.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$90.85	$45.80
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	19	19	$257.74	$129.85
69100 Biopsy of ear	17	17	$196.37	$84.48
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	16	13	$290.26	$123.03
11104 Punch biopsy, first skin growth	14	13	$249.73	$126.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,201	313	$11.40	$5.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,071	780	$218.08	$108.79
99213 Established patient office or other outpatient visit, typically 15 minutes	684	431	$148.92	$74.10
17000 Destruction of skin growth	683	482	$131.40	$56.16
11102 Tangential biopsy of single skin lesion	317	251	$197.04	$90.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	283	25	$3.22	$1.52
17110 Destruction of up to 14 skin growths	233	188	$219.84	$108.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$218.30	$109.03
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	131	107	$796.18	$388.81
11103 Biopsy of related skin growth, each additional growth	108	70	$106.40	$53.13
96574 Application of light with debridement to destroy precancer skin growth	108	87	$477.46	$250.92
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$153.08	$76.46
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	48	36	$356.14	$155.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	38	23	$33.14	$16.12
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	33	$613.38	$301.93
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	24	$502.24	$125.40
11104 Punch biopsy, first skin growth	24	24	$247.62	$121.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	23	$89.98	$44.95
69100 Biopsy of ear	23	22	$197.46	$87.90
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	17	17	$240.46	$120.12
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$339.74	$90.90
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	11	$291.22	$133.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,310	310	$10.68	$5.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	975	740	$215.36	$106.39
99213 Established patient office or other outpatient visit, typically 15 minutes	697	432	$146.03	$72.17
17000 Destruction of skin growth	685	464	$132.83	$56.67
11100 Biopsy of single growth of skin and/or tissue	351	293	$211.02	$101.07
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	183	24	$3.62	$1.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$217.21	$107.84
17110 Destruction of up to 14 skin growths	146	123	$222.59	$107.61
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	139	110	$808.65	$392.49
11101 Biopsy of each additional growth of skin and/or tissue	103	83	$66.57	$32.92
99202 New patient office or other outpatient visit, typically 20 minutes	72	72	$150.31	$74.49
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	57	50	$222.38	$109.92
96573 Application of light by qualified health care professional to destroy precancer skin growth	57	54	$369.74	$179.26
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	54	38	$353.94	$152.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	38	$87.32	$43.33
96574 Application of light with debridement to destroy precancer skin growth	32	31	$477.46	$228.50
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	18	$501.01	$123.69
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	20	$608.65	$293.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	13	$40.58	$20.00
69100 Biopsy of ear	17	15	$202.14	$82.22
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	16	$377.19	$180.83
11900 Injection into skin growth, 1-7 growths	15	12	$113.27	$48.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,444	334	$11.38	$5.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	879	673	$215.38	$104.41
17000 Destruction of skin growth	717	488	$133.80	$56.49
99213 Established patient office or other outpatient visit, typically 15 minutes	687	428	$146.34	$70.82
11100 Biopsy of single growth of skin and/or tissue	355	295	$206.62	$97.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	279	28	$3.60	$1.71
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	159	119	$720.72	$354.63
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	154	122	$262.68	$127.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$217.88	$105.51
17110 Destruction of up to 14 skin growths	105	76	$220.14	$104.92
11101 Biopsy of each additional growth of skin and/or tissue	101	72	$66.76	$32.33
99202 New patient office or other outpatient visit, typically 20 minutes	76	76	$149.92	$73.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	50	$87.02	$42.20
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	50	42	$351.78	$155.24
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	49	44	$500.24	$119.61
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	36	33	$609.16	$274.62
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	22	$50.22	$23.68
69100 Biopsy of ear	21	21	$201.82	$81.59
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	16	$861.40	$402.43
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	11	$796.82	$370.41

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License FL OS8569

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License PA OS007565L

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Npi

1548329774 (FL)

Commercial Insurance / Payer ID Blue Cross Blue Sheild

06181 (FL)

Commercial Insurance / Payer ID Aetna Provider No.

3377801 (FL)

Hospital & Practice Group Affiliations

Premier Dermatology, Llc

350 S Indiana Ave, Englewood, FL 342233715

Phone: 9414748811

Premier Dermatology, Llc

6771 Professional Pkwy, Lakewood Ranch, FL 342408460

Phone: 9419077372

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Michelle Selvaggi , ARNP

Nurse Practitioner - Primary Care

NPI 1275918385

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active August 16, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address August 16, 2017

Registered at 6771 PROFESSIONAL PKWY W, STE 202, LAKEWOOD RANCH, FL 342408460 (Tel: 9419077372)

📍

Updated Practice Location August 16, 2017

Registered at 6771 PROFESSIONAL PKWY W STE 203, SARASOTA, FL 342408460 (Tel: 9419077372)

👤

Provider Name / Credentials Updated August 16, 2017

Recorded as ROBERT FINKELSTEIN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2017

Dermatology (License #OS007565L in PA)

✅

NPI Profile Active May 03, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 03, 2013

Registered at 6771 PROFESSIONAL PKWY W STE 203, SARASOTA, FL 342408460 (Tel: 9419077372)

📍

Updated Business Mailing Address May 03, 2013

Registered at 6771 PROFESSIONAL PKWY W STE 203, SARASOTA, FL 342408460 (Tel: 9419077372)

👤

Provider Name / Credentials Updated May 03, 2013

Recorded as ROBERT FINKELSTEIN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2013

Dermatology (License #OS8569 in FL)

🟢

Initial NPI Registration & Enumeration July 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336178953

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 03, 2006

Last Update: August 16, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6771 Professional Pkwy W, Ste 202

Lakewood Ranch, FL 342408460

Phone: 9419077372

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.