DERMATOLOGY GROUP OF FLORIDA PA
NPI 1003612912
Dermatology in Hollywood, FL

Active since February 21, 2025CLIA Certified · 3 labs
3850 HOLLYWOOD BLVD STE 403, HOLLYWOOD, FL 33021(954) 961-1200 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology Group Of Florida Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY GROUP OF FLORIDA PA (NPI 1003612912) is a healthcare organization registered as a dermatology in Hollywood, Florida and active in the NPI registry since February 2025. The organization holds 3 active CLIA laboratory certificates and lists Nancy Seguin, Vp Of Rcm, as its authorized official.

NPPES Registry Identity

NPI1003612912
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY GROUP OF FLORIDA PA
Location Address3850 HOLLYWOOD BLVD STE 403Hollywood, FL 33021-6746
Mailing Address4000 Hollywood Blvd Ste 215sHollywood, FL 33021-1227
Organization SubpartNo
Authorized OfficialNancy SeguinVp Of Rcm · (954) 237-7090
Enumeration DateFebruary 21, 2025
NPPES CertifiedFebruary 21, 2025
NPI 1003612912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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.
3850 HOLLYWOOD BLVD STE 403, Hollywood, FL 33021

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2039535

Dermatology Group Of Florida Dba Hollywood Dermatology · Hollywood, FL
Active · expires Oct 7, 2026
CLIA Number10D2039535
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorEduardo T. Weiss
Laboratory Phone(954) 961-1200
Laboratory LocationDermatology Group Of Florida Dba Hollywood Dermatology3850 Hollywood Blvd Ste 403, Hollywood, FL 33021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 10D2162890

Dermatology Group Of Florida, PA · Hollywood, FL
Active · expires Mar 3, 2027
CLIA Number10D2162890
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorJulian D. Moore
Laboratory Phone(954) 961-1200
Laboratory LocationDermatology Group Of Florida, PA3850 Hollywood Blvd Ste 301, Hollywood, FL 33021
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1098579

Dermatology Group Of Florida PA · Hollywood, FL
Active · expires Nov 16, 2026
CLIA Number10D1098579
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorEduardo T. Weiss
Laboratory Phone(954) 961-1200
Laboratory LocationDermatology Group Of Florida PA3850 Hollywood Blvd Ste 201A, Hollywood, FL 33021
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Group Of Florida PA's NPI number?

The NPI number for Dermatology Group Of Florida PA is 1003612912. It was assigned to this organization in the NPPES registry on February 21, 2025.

Where is Dermatology Group Of Florida PA located?

Dermatology Group Of Florida PA is located at 3850 Hollywood Blvd Ste 403, Hollywood, FL 33021. The listed phone number is (954) 961-1200.

What is Dermatology Group Of Florida PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Dermatology Group Of Florida PA hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Dermatology Group Of Florida PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Dermatology Group Of Florida PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology Group Of Florida PA was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.