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FLORIDA INSTITUTE OF DERMATOLOGY LLC
NPI 1356906358
Dermatology - Dermatopathology in Winter Garden, FL

Active since May 06, 2019CLIA Certified · 2 labs
1991 DANIELS RD, WINTER GARDEN, FL 34787(407) 395-3770(407) 395-3779 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2020, Jun 11, 2019, May 6, 2019 (3 updates tracked since 2019).

About Florida Institute Of Dermatology Llc NPPES

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

FLORIDA INSTITUTE OF DERMATOLOGY LLC (NPI 1356906358) is a healthcare organization registered as a dermatopathology in Winter Garden, Florida and active in the NPI registry since May 2019. The organization holds 2 active CLIA laboratory certificates and lists Michael Waudo Wangia, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1356906358
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameFLORIDA INSTITUTE OF DERMATOLOGY LLC
Location Address1991 DANIELS RDWinter Garden, FL 34787
Mailing Address10747 Emerald Chase DrOrlando, FL 32836-5876 · (352) 246-3254
Phone(407) 395-3770
Fax(407) 395-3779
Organization SubpartNo
Authorized OfficialMichael Waudo WangiaMedical Director · (352) 246-3254
Enumeration DateMay 6, 2019
Last NPPES UpdateJanuary 21, 20203 updates tracked since enumeration
✔ NPI 1356906358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
1991 DANIELS RD, Winter Garden, FL 34787
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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 Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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 10D2178278

Florida Institute Of Dermatology · Winter Garden, FL
Active · expires May 10, 2028
CLIA Number10D2178278
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorMichael Wangia
Laboratory Phone(407) 395-3770
Laboratory LocationFlorida Institute Of Dermatology1991 Daniels Road, Winter Garden, FL 34787
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 10D2227098

Florida Institute Of Dermatology LLC · The Villages, FL
Active · expires May 10, 2028
CLIA Number10D2227098
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2026
Certificate Expiration DateMay 10, 2028
Laboratory DirectorMichael Wangia
Laboratory Phone(407) 395-3770
Laboratory LocationFlorida Institute Of Dermatology LLC1503 Buenos Aires Blvd Bldg 130, The Villages, FL 32159
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 6

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

JOANNA HOFFMAN ARNP
Nurse Practitioner (Adult Health)
1991 DANIELS RD
WINTER GARDEN, FL 34787
Orange County (407) 395-3770
MELANIE WILLIAMS DO
Dermatology
1991 DANIELS RD
WINTER GARDEN, FL 34787
Orange County (407) 395-3770
EVAN PAIGE CHASTAIN ARNP
Nurse Practitioner
1991 DANIELS RD
WINTER GARDEN, FL 34787
Orange County (407) 395-3770
BRIANNA LYNN GONZALEZ
Physician Assistant
1991 DANIELS RD
WINTER GARDEN, FL 34787
Orange County (407) 395-3770
MICHAEL WAUDO WANGIA MD
Dermatology
1991 DANIELS RD
WINTER GARDEN, FL 34787
Orange County (407) 395-3770
DR. NNEAMAKA UKATU MD
Dermatology
1991 DANIELS RD
WINTER GARDEN, FL 34787
Orange County (407) 395-3770

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 Florida Institute Of Dermatology LLC's NPI number?

The NPI number for Florida Institute Of Dermatology LLC is 1356906358. It was assigned to this organization in the NPPES registry on May 6, 2019.

Where is Florida Institute Of Dermatology LLC located?

Florida Institute Of Dermatology LLC is located at 1991 Daniels Rd, Winter Garden, FL 34787. The listed phone number is (407) 395-3770.

What is Florida Institute Of Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Does Florida Institute Of Dermatology LLC 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 Florida Institute Of Dermatology LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Wellpoint list Florida Institute Of Dermatology LLC 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 Florida Institute Of Dermatology LLC was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.