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CENTRAL FLORIDA DERMATOLOGY SKIN CANCER CENTER
NPI 1083825491
Dermatology - MOHS-Micrographic Surgery in Winter Haven, FL

Active since May 25, 2007
475 E CENTRAL AVE, WINTER HAVEN, FL 33880(863) 293-2147(863) 294-2767 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Central Florida Dermatology Skin Cancer Center NPPES

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

CENTRAL FLORIDA DERMATOLOGY SKIN CANCER CENTER (NPI 1083825491) is a healthcare organization registered as a mohs-micrographic surgery in Winter Haven, Florida and active in the NPI registry since May 2007. The organization lists Gary L Stevens, President, as its authorized official.

NPPES Registry Identity

NPI1083825491
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameGARY L STEVENSMDPA
Location Address475 E CENTRAL AVEWinter Haven, FL 33880-3051
Mailing Address475 E Central AveWinter Haven, FL 33880-3051 · (863) 293-2147 · Fax (863) 294-2767
Phone(863) 293-2147
Fax(863) 294-2767
Organization SubpartNo
Authorized OfficialGary L StevensPresident · (863) 293-2147
Enumeration DateMay 25, 2007
Last NPPES UpdateApril 11, 2008
✔ NPI 1083825491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in FL · ME75661
Definition
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.
475 E CENTRAL AVE, Winter Haven, FL 33880
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Other Names 1

Doing Business AsCentral Florida Dermatology Skin Cancer Center

Other Identifiers 3

Medicare ID-Type UnspecifiedMEDICAREFL · Provider Number
Medicare UPING300098FL
Medicare ID-Type UnspecifiedK4282FL · Medicare Group Number

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

Other Providers at the Same Location NPPES

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

KRISTINE HOVERKAMP ARNP
Nurse Practitioner
475 E CENTRAL AVE
WINTER HAVEN, FL 33880
Polk County (863) 299-5614

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 Gary L Stevensmdpa's NPI number?

The NPI number for Gary L Stevensmdpa is 1083825491. It was assigned to this organization in the NPPES registry on May 25, 2007. The provider is doing business as Central Florida Dermatology Skin Cancer Center.

Where is Gary L Stevensmdpa located?

Gary L Stevensmdpa is located at 475 E Central Ave, Winter Haven, FL 33880. The listed phone number is (863) 293-2147.

What is Gary L Stevensmdpa's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Gary L Stevensmdpa was last updated on April 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.