LEONID B TROST MD LLC (NPI# 1821343229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821343229 |
| Entity Type | Organization |
| Organization Name | LEONID B TROST MD LLC |
| Practice Address |
9400 Gladiolus Dr Ste 320 Fort Myers FL 33908-6699 |
| Practice Telephone | 2394827546 |
| Practice Fax Number | 2392438648 |
| Mailing Telephone | 2394827546 |
| Mailing Fax Number | 2392438648 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-31 |
| Authorized Official Name | LEONID B TROST (MD/OWNER) |
| Authorized Official Telephone | 2394827546 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
ME100046 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE MEDICAL LICENSE | ME100046 | 01 |
| Street Address |
9400 GLADIOLUS DR STE 320 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-6699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093707341 | Richard D Ornato | Physician Assistant | 9400 Gladiolus Dr, Suite 250, Fort Myers, FL 33908-6699 | 2005-08-22 |
| 1720433022 | Integrated Comprehensive Healthcare, LLC | Social Worker | 9400 Gladiolus Dr, Suite 340, Fort Myers, FL 33908-6699 | 2016-04-25 |
| 1558737148 | Scappa Urology, Pa | Urology | 9400 Gladiolus Dr, Suite 30, Fort Myers, FL 33908-6699 | 2015-08-18 |
| 1356733554 | Apex Foot & Ankle Center | Podiatrist | 9400 Gladiolus Dr, Suite 300, Fort Myers, FL 33908-6699 | 2015-02-24 |
| 1366857070 | Total Kidney Oversight Pa | Specialist | 9400 Gladiolus Dr, Fort Myers, FL 33908-6699 | 2014-06-23 |
| 1992096788 | Jm2go, LLC. | Occupational Therapist | 9400 Gladiolus Dr, Suite #60, Fort Myers, FL 33908-6699 | 2011-04-27 |
| 1194050260 | Santo Ignacio Garcia | Occupational Therapist | 9400 Gladiolus Dr, Suite #60, Fort Myers, FL 33908-6699 | 2009-10-07 |
| 1598990509 | 21st Century Oncology LLC | Urology | 9400 Gladiolus Dr, Suite 30, Fort Myers, FL 33908-6699 | 2009-05-19 |
| 1598916611 | Paradise Coast Pavilion, LLC | Plastic Surgery | 9400 Gladiolus Dr, Suite 105, Fort Myers, FL 33908-6699 | 2008-10-07 |
| 1427221605 | Acute Dermatology Clinic Pa | Clinic/Center | 9400 Gladiolus Dr, Suite 320, Fort Myers, FL 33908-6699 | 2008-04-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| 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. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
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|---|---|---|---|---|
| 1144827577 | Onspot-fl LLC. | Dermatology | 16461 Domestic Ave, Fort Myers, FL 33912-6008 | 2020-10-08 |
| 1174763353 | Steven C Bernstein | Dermatology | 12580 University Dr, Suite 200, Fort Myers, FL 33907-5686 | 2009-02-27 |
| 1326193202 | Michael J Haiken Md Pa | Dermatology | 13691 Metro Pkwy, Suite 310, Fort Myers, FL 33912-4327 | 2007-01-24 |
| 1033148382 | Michael Haiken | Dermatology | 13691 Metro Pkwy, Suite 310, Fort Myers, FL 33912-4327 | 2006-06-30 |
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| 1942855150 | International Dermatology Research, Inc. | Dermatology | 8370 W Flagler St Ste 200, Miami, FL 33144-2038 | 2019-08-05 |
| 1154815546 | Forefront Dermatology, S.c. | Dermatology | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-06-19 |
| 1437517802 | Total Vein and Skin LLC | Dermatology | 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 | 2016-02-01 |
| 1861812851 | Anand Haryani | Dermatology | 8745 N Us Highway 1, Sebastian, FL 32958-7524 | 2014-04-17 |
| 1164841797 | Michael Montuno | Dermatology | 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 | 2014-04-10 |
| 1861813719 | Hillcrest Dermatology and Plastic Surgery P.a. | Dermatology | 733 Highway 466, Lady Lake, FL 32159-6340 | 2013-12-19 |
| 1922355957 | Florida Medical Specialists | Dermatology | 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 | 2012-08-09 |
| 1619232501 | Alliant Dermatology Pa | Dermatology | 8620 E County Road 466, The Villages, FL 32162-3670 | 2012-07-07 |
| 1114218328 | Leavitt Medical Assocaittes of Florida Inc | Dermatology | 1426 E Bloomindale Ave, Valrico, FL 33596 | 2011-04-21 |
| 1992095681 | Leavitt Medical Associates of Florida Inc | Dermatology | 3427 Mariner Blvd, Spring Hill, FL 34609-2463 | 2011-04-14 |
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| City | FORT MYERS |
| Zip Code | 33908 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.