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FLORIDA DERMATOLOGY & SKIN CANCER CENTERS
NPI 1205066404
Dermatology - MOHS-Micrographic Surgery in Winter Haven, FL

Active since July 22, 2009CLIA Certified · 14 labs
1450 6TH ST SE, WINTER HAVEN, FL 33880(863) 293-2147(863) 294-2767 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2020, Jul 1, 2019, Jul 6, 2018 and 2 more (5 updates tracked since 2018).

About Florida Dermatology & Skin Cancer Centers NPPES

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

FLORIDA DERMATOLOGY & SKIN CANCER CENTERS (NPI 1205066404) is a healthcare organization registered as a mohs-micrographic surgery in Winter Haven, Florida and active in the NPI registry since July 2009. The organization holds 14 active CLIA laboratory certificates, maintains 11 additional practice locations, and lists Lisa Mccarrell, Practice Admin, as its authorized official.

NPPES Registry Identity

NPI1205066404
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameK WADE FOSTER MD PA
Location Address1450 6TH ST SEWinter Haven, FL 33880
Mailing Address1450 6th St SeWinter Haven, FL 33880-4505 · (863) 293-2147 · Fax (863) 294-2767
Phone(863) 293-2147
Fax(863) 294-2767
Organization SubpartNo
Authorized OfficialLisa MccarrellPractice Admin · (863) 293-2147
Enumeration DateJuly 22, 2009
Last NPPES UpdateApril 6, 20205 updates tracked since enumeration
NPPES CertifiedApril 6, 2020
✔ NPI 1205066404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1450 6TH ST SE, Winter Haven, FL 33880
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Other Names 1

Doing Business AsFlorida Dermatology & Skin Cancer Centers

Secondary Practice Locations 11

Location 11052 Downing CirWauchula, FL 33873-3358 · Phone (855) 353-7546 · Fax (863) 774-3526
Location 26020 Park Blvd NPinellas Park, FL 33781-3228 · Phone (855) 353-7546 · Fax (727) 478-2909
Location 33200 Medical WaySebring, FL 33870-3375 · Phone (855) 353-7546 · Fax (863) 333-6520
Location 4931 S US Highway 41Inverness, FL 34450-6860 · Phone (855) 353-7546 · Fax (352) 637-0788
Location 52502 Sand Mine RdDavenport, FL 33897-3402 · Phone (855) 353-7546 · Fax (863) 216-5896
Location 6421 Linden LnLake Wales, FL 33853-4342 · Phone (855) 353-7546 · Fax (863) 676-1015
Location 7836 Highway 466Lady Lake, FL 32159-3918 · Phone (855) 353-7546 · Fax (352) 775-4413
Location 8700 SE 5th Ter # 78Crystal River, FL 34429-4878 · Phone (855) 353-7546 · Fax (352) 364-9202
Location 9609 Indian Rocks RdBelleair, FL 33756-2056 · Phone (855) 353-7546 · Fax (727) 315-0911
Location 1026800 S Tamiami Trl Ste 360Bonita Springs, FL 34134-4355 · Phone (855) 353-7546 · Fax (239) 676-0208
Location 113725 S Hwy 27 Ste 105Clermont, FL 34711-7600 · Phone (855) 353-7546 · Fax (352) 533-4391

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), Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA 15

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 Accreditation 10D2007620

K Wade Foster MD PA · Winter Haven, FL
Active · expires May 13, 2028
CLIA Number10D2007620
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorDr. Klaus F. Sellheyer
Laboratory Phone(863) 293-2147
Laboratory LocationK Wade Foster MD PA1450 6th St SE, Winter Haven, FL 33880
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Compliance 10D2157444

K Wade Foster MD PA · Sebring, FL
Active · expires Aug 8, 2027
CLIA Number10D2157444
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2025
Certificate Expiration DateAugust 8, 2027
Laboratory DirectorBrandon Worley
Laboratory Phone(855) 353-7546
Laboratory LocationK Wade Foster MD PA3200 Medical Way, Sebring, FL 33870
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 Compliance 10D2123289

K Wade Foster MD PA · Wauchula, FL
Active · expires Jan 26, 2027
CLIA Number10D2123289
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorBrandon Worley
Laboratory Phone(863) 293-2147
Laboratory LocationK Wade Foster MD PA1052 Downing Circle, Wauchula, FL 33873
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 Compliance 10D2032672

K Wade Foster MD PA · Lake Wales, FL
Active · expires Feb 16, 2028
CLIA Number10D2032672
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorBrandon Worley
Laboratory Phone(863) 676-3411
Laboratory LocationK Wade Foster MD PA421 Linden Lane, Lake Wales, FL 33853
CLIA data matches this NPI record on: Address Name
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 10D1043494

K Wade Foster MD PA · Pinellas Park, FL
Active · expires May 10, 2027
CLIA Number10D1043494
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorJames Highsmith
Laboratory Phone(727) 548-9196
Laboratory LocationK Wade Foster MD PA6020 Park Blvd, Pinellas Park, FL 33781
CLIA data matches this NPI record on: Address Name
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 10D2316464

K Wade Foster MD PA · Lakeland, FL
Active · expires Sep 3, 2027
CLIA Number10D2316464
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorBrandon Worley
Laboratory Phone(863) 293-2147
Laboratory LocationK Wade Foster MD PA6743 Us Hwy 98 North, Lakeland, FL 33809
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.

Other Providers at the Same Location NPPES 7

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

LEAH RAE SYLVESTER MCMSC, PA-C
Physician Assistant
1450 6TH ST SE
WINTER HAVEN, FL 33880
Polk County (863) 293-2147
DSS CAPITAL LLC
Internal Medicine
1450 6TH ST SE
WINTER HAVEN, FL 33880
Polk County (863) 299-1485
KAITLYN MACKENZIE FRANTZ
Dermatology
1450 6TH ST SE
WINTER HAVEN, FL 33880
Polk County (863) 293-2147
CHERYL L CAMPBELL ARNP
Nurse Practitioner (Adult Health)
1450 6TH ST SE
WINTER HAVEN, FL 33880
Polk County (855) 353-7546
CHRISJONNA FOSTER APRN
Nurse Practitioner (Family)
1450 6TH ST SE
WINTER HAVEN, FL 33880
Polk County (863) 293-2147
KLAUS F. SELLHEYER MD
Dermatology (Dermatopathology)
1450 6TH ST SE
WINTER HAVEN, FL 33880
Polk County (863) 293-2147
CARSON WILES MITCHELL
Nurse Practitioner (Family)
1450 6TH ST SE
WINTER HAVEN, FL 33880
Polk County (863) 293-2147

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 K Wade Foster MD PA's NPI number?

The NPI number for K Wade Foster MD PA is 1205066404. It was assigned to this organization in the NPPES registry on July 22, 2009. The provider is doing business as Florida Dermatology & Skin Cancer Centers.

Where is K Wade Foster MD PA located?

K Wade Foster MD PA is located at 1450 6th St SE, Winter Haven, FL 33880. The listed phone number is (863) 293-2147.

What is K Wade Foster MD PA's specialty?

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

Does K Wade Foster MD PA hold CLIA laboratory certificates?

Yes. 14 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 K Wade Foster MD PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list K Wade Foster MD 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 K Wade Foster MD PA was last updated on April 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.