FAMILY DERMATOLOGY OF NORTH FLORIDA LLC
NPI 1033752969
Dermatology in Tallahassee, FL

Q: What is Family Dermatology Of North Florida LLC's specialty?

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

Active since October 23, 2019CLIA 10D0996191 · Certificate of Compliance

1981 CAPITAL CIR NE, TALLAHASSEE, FL 32308(850) 402-9444(850) 402-0188 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2020, Oct 23, 2019 (2 updates tracked since 2019).

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About Family Dermatology Of North Florida Llc NPPES

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

FAMILY DERMATOLOGY OF NORTH FLORIDA LLC (NPI 1033752969) is a healthcare organization registered as a dermatology in Tallahassee, Florida and active in the NPI registry since October 2019. The organization holds a CLIA Certificate of Compliance certificate valid through March 31, 2028 and lists Oen-hiang Cynthia Tie, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1033752969

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameFAMILY DERMATOLOGY OF NORTH FLORIDA LLC

Location Address1981 CAPITAL CIR NETallahassee, FL 32308-4421

Mailing Address1981 Capital Cir NeTallahassee, FL 32308-4421 · (850) 402-9444 · Fax (850) 402-0188

Phone(850) 402-9444

Fax(850) 402-0188

Organization SubpartNo

Authorized OfficialOen-hiang Cynthia TieAuthorized Official · (850) 402-9444

Enumeration DateOctober 23, 2019

Last NPPES UpdateMarch 26, 20242 updates tracked since enumeration

NPPES CertifiedMarch 26, 2024

✔ NPI 1033752969 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.

1981 CAPITAL CIR NE, Tallahassee, FL 32308

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Other Identifiers 2

Medicaid257072600FL

Other46953FL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 10D0996191

Family Dermatology Of North Florida · Tallahassee, FL

Active · expires Mar 31, 2028

CLIA Number10D0996191

Laboratory TypePhysician Office

Certificate Effective DateApril 1, 2026

Certificate Expiration DateMarch 31, 2028

Laboratory DirectorClara E. Barranco

Laboratory Phone(850) 402-9444

Laboratory LocationFamily Dermatology Of North Florida1981 Capital Circle NE, Tallahassee, FL 32308

CLIA data matches this NPI record on: 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.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID PASCOE M.D.

Dermatology