SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.
NPI 1336257450
Dermatology - MOHS-Micrographic Surgery in Summerfield, FL

Active since August 28, 2006
10973 SE 175TH PL STE 100, SUMMERFIELD, FL 34491(352) 873-7788(352) 873-9397 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2024, May 26, 2022, May 25, 2018 (3 updates tracked since 2018).

About Skin Cancer Center Of Central Florida, P.a. NPPES

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

SKIN CANCER CENTER OF CENTRAL FLORIDA, P.A. (NPI 1336257450) is a healthcare organization registered as a mohs-micrographic surgery in Summerfield, Florida and active in the NPI registry since August 2006. The organization lists Mary F Barber, President, as its authorized official.

NPPES Registry Identity

NPI1336257450
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSKIN CANCER CENTER OF CENTRAL FLORIDA, P.A.
Location Address10973 SE 175TH PL STE 100Summerfield, FL 34491
Mailing Address10973 Se 175th Pl Ste 100Summerfield, FL 34491-8983 · (352) 259-6553 · Fax (352) 873-9397
Fax(352) 873-9397
Organization SubpartNo
Authorized OfficialMary F BarberPresident · (352) 259-6553
Enumeration DateAugust 28, 2006
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1336257450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedSpecialistTaxonomy 174400000X · License ME0062067 (FL)
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
10973 SE 175TH PL STE 100, Summerfield, FL 34491

Other Identifiers 1

Medicaid372699100FL

Group Practice 2

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skin Cancer Center Of Central Florida, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Skin Cancer Center Of Central Florida, P.A., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1003812207
10973 SE 175TH PL STE 100
Summerfield, FL 34491
(352) 259-6553
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548596083
10973 SE 175TH PL # 100
Summerfield, FL 34491
(352) 259-6553
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1164957916
10973 SE 175TH PL STE 100
Summerfield, FL 34491
(352) 259-6553
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Skin Cancer Center Of Central Florida, P.A.'s NPI number?

The NPI number for Skin Cancer Center Of Central Florida, P.A. is 1336257450. It was assigned to this organization in the NPPES registry on August 28, 2006.

Where is Skin Cancer Center Of Central Florida, P.A. located?

Skin Cancer Center Of Central Florida, P.A. is located at 10973 SE 175th Pl Ste 100, Summerfield, FL 34491. The listed phone number is (352) 873-7788.

What is Skin Cancer Center Of Central Florida, P.A.'s specialty?

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

Is Skin Cancer Center Of Central Florida, P.A. enrolled in Medicare?

Yes. Skin Cancer Center Of Central Florida, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skin Cancer Center Of Central Florida, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Skin Cancer Center Of Central Florida, P.A., in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Skin Cancer Center Of Central Florida, P.A. accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Skin Cancer Center Of Central Florida, P.A. 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 Skin Cancer Center Of Central Florida, P.A. was last updated on November 5, 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.