Organization provider

SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.

MOHS-Micrographic Surgery Physician Dermatology Physician Procedural Dermatology Physician Medicare enrolled

SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1336257450, based in Summerfield, FL. The organization lists 4 taxonomy classifications, with MOHS-Micrographic Surgery Physician recorded as primary.

Getting there

The practice address on file is 10973 SE 175TH PL STE 100, Summerfield, FL 34491. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

10973 SE 175TH PL STE 100, Summerfield, FL 34491 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
ME0062067 FL Specialist

This provider holds licence ME0062067 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
5597818948
Enrollment ID
O20090801000015

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What MOHS-Micrographic Surgery covers

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. NUCC Health Care Provider Taxonomy, code 207ND0101X
Allopathic & Osteopathic Physicians Dermatology MOHS-Micrographic Surgery

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207ND0101X MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery primary
207N00000X Dermatology Physician
207NS0135X Procedural Dermatology Physician Procedural Dermatology
174400000X Specialist ME0062067 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1336257450 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateAug 28, 2006
Last updatedNov 5, 2024
StatusActive
Practice address 10973 SE 175TH PL STE 100
Summerfield, FL 34491
(352) 873-7788
Fax (352) 873-9397
Other identifiers 372699100 · Medicaid (FL)
This record was updated on Nov 5, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1336257450 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 3 6 2 5 7 4 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 6 6 4 5 5 4 1

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1336257450?
NPI 1336257450 is the National Provider Identifier assigned to SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. in Summerfield, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does MOHS-Micrographic Surgery cover?
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery…
How do I contact SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.?
The phone number on file with NPPES is (352) 873-7788, last updated Nov 5, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1336257450 a valid number?
Yes. 1336257450 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.