SUNSHINE STATE DERMATOLOGY AND SKIN CANCER CENTER
NPI 1164122347
Dermatology - MOHS-Micrographic Surgery in North Port, FL

Q: What is Sunshine State Dermatology And Skin Cancer Center Inc's specialty?

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

Active since March 07, 2023CLIA Certified · 2 labs

12497 TAMIAMI TRL S, UNIT 1, NORTH PORT, FL 34287(941) 282-3376(941) 282-3378 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 31, 2024, Jul 10, 2023, Mar 29, 2023 and 1 more (4 updates tracked since 2023).

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About Sunshine State Dermatology And Skin Cancer Center NPPES

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

SUNSHINE STATE DERMATOLOGY AND SKIN CANCER CENTER (NPI 1164122347) is a healthcare organization registered as a mohs-micrographic surgery in North Port, Florida and active in the NPI registry since March 2023. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in North Port, and lists Adam S Greenberg, President, as its authorized official.

NPPES Registry Identity

NPI1164122347

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameSUNSHINE STATE DERMATOLOGY AND SKIN CANCER CENTER INC

Location Address12497 TAMIAMI TRL S, UNIT 1North Port, FL 34287-1415

Mailing Address88 Sugar Mill DrOsprey, FL 34229-9077 · (941) 228-9183

Phone(941) 282-3376

Fax(941) 282-3378

Organization SubpartNo

Authorized OfficialAdam S GreenbergPresident · (941) 282-3376

Enumeration DateMarch 7, 2023

Last NPPES UpdateJuly 31, 20244 updates tracked since enumeration

NPPES CertifiedJuly 31, 2024

✔ NPI 1164122347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

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.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X

12497 TAMIAMI TRL S, UNIT 1, North Port, FL 34287

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Other Names 2

Doing Business AsSunshine State Dermatology And Skin Cancer Center

Other NameSunshine State Dermatology And Skin Cancer Center Inc

Secondary Practice Location 1

Location 112497 Tamiami Trl S Ste 1North Port, FL 34287-1415 · Phone (941) 282-3376 · Fax (941) 282-3378

Other Identifiers 2

OtherYCEA9FL · Bcbs Payer Id

Other1932193729Npi

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D2288565

Sunshine State Dermatology And Skin Cancer Center, Inc · North Port, FL

Active · expires Mar 7, 2028

CLIA Number10D2288565

Laboratory TypePhysician Office

Certificate Effective DateMarch 8, 2026

Certificate Expiration DateMarch 7, 2028

Laboratory DirectorAdam S. Greenberg

Laboratory Phone(941) 282-3376

Laboratory LocationSunshine State Dermatology And Skin Cancer Center, Inc12497 S Tamiami Trail, Unit 1, North Port, FL 34287

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.

Certificate of Compliance 10D2320086

Sunshine State Dermatology And Skin Cancer Center Inc · Venice, FL

Active · expires Oct 21, 2027

CLIA Number10D2320086

Laboratory TypePhysician Office

Certificate Effective DateOctober 22, 2025

Certificate Expiration DateOctober 21, 2027

Laboratory DirectorAdam Greenberg

Laboratory Phone(941) 282-3376

Laboratory LocationSunshine State Dermatology And Skin Cancer Center Inc1415 E Venice Avenue, Venice, FL 34292

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.

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 Sunshine State Dermatology And Skin Cancer Center Inc's NPI number?

The NPI number for Sunshine State Dermatology And Skin Cancer Center Inc is 1164122347. It was assigned to this organization in the NPPES registry on March 7, 2023. The provider is doing business as Sunshine State Dermatology And Skin Cancer Center.

Where is Sunshine State Dermatology And Skin Cancer Center Inc located?

Sunshine State Dermatology And Skin Cancer Center Inc is located at 12497 Tamiami Trl S, Unit 1, North Port, FL 34287. The listed phone number is (941) 282-3376.

What is Sunshine State Dermatology And Skin Cancer Center Inc's specialty?

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

Does Sunshine State Dermatology And Skin Cancer Center Inc hold CLIA laboratory certificates?

Yes. 2 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 Sunshine State Dermatology And Skin Cancer Center Inc accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Sunshine State Dermatology And Skin Cancer Center Inc 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 Sunshine State Dermatology And Skin Cancer Center Inc was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.