CENTER FOR SKIN CANCER SURGERY, INC. (NPI# 1871900233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871900233 |
| Entity Type | Organization |
| Organization Name | CENTER FOR SKIN CANCER SURGERY, INC. |
| Practice Address |
7960 N Wickham Rd Suite 105 Melbourne FL 32940 |
| Mailing Address |
8057 Spyglass Hill Rd Suite 102 Melbourne FL 32940-8565 |
| Practice Telephone | 3214284545 |
| Practice Fax Number | 3214217898 |
| Mailing Telephone | 3214284545 |
| Mailing Fax Number | 3214217898 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | DR. JEANNINE STEIN (OWNER) |
| Authorized Official Telephone | 3214284545 |
| 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 |
ME88079 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8057 Spyglass Hill Rd, Suite 102, Melbourne, FL 329408565 | 3214284545 | 3214217898 |
| Street Address |
7960 N WICKHAM RD SUITE 105 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407811235 | Jeannine Marie Stein | Dermatology | 7960 N Wickham Rd, Suite 105, Melbourne, FL 32940 | 2006-04-17 |
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| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
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| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
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| 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/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538115548 | Joseph John Chanda | Dermatology | 207 Silver Palm Ave, Melbourne, FL 32901-3143 | 2006-05-25 |
| 1407811235 | Jeannine Marie Stein | Dermatology | 7960 N Wickham Rd, Suite 105, Melbourne, FL 32940 | 2006-04-17 |
| 1356343115 | Terrence Allan Cronin Jr. | Dermatology | 1399 S Harbor City Blvd, Melbourne, FL 32901-3208 | 2005-08-11 |
| 1427662071 | Forefront Dermatology, S.c. | Dermatology | 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2039 | 2020-09-01 |
| 1851532683 | Beachside Dermatology, LLC | Dermatology | 2571 W Eau Gallie Blvd, Suite 2, Melbourne, FL 32935-8954 | 2009-03-06 |
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| 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 |
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| 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 |
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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.