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SUNCOAST SKIN SOLUTIONS
NPI 1487827416
Dermatology in Lutz, FL

Active since April 10, 2008CLIA Certified · 21 labs
4651 VAN DYKE RD, LUTZ, FL 33558(813) 321-1786(813) 321-1787 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Suncoast Skin Solutions NPPES

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

SUNCOAST SKIN SOLUTIONS (NPI 1487827416) is a healthcare organization registered as a dermatology in Lutz, Florida and active in the NPI registry since April 2008. The organization holds 21 active CLIA laboratory certificates and lists Christopher David Ewanowski, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1487827416
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSUNCOAST SKIN SOLUTIONS
Location Address4651 VAN DYKE RDLutz, FL 33558-4880
Mailing Address18228 N Us Highway 41Lutz, FL 33549-4400 · (813) 321-1786 · Fax (813) 321-1787
Phone(813) 321-1786
Fax(813) 321-1787
Organization SubpartNo
Authorized OfficialChristopher David EwanowskiMedical Director · (813) 321-1786
Enumeration DateApril 10, 2008
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1487827416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4651 VAN DYKE RD, Lutz, FL 33558
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Other Identifiers 1

Medicaid001793700FL

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 AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 21

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 10D1087523

Suncoast Skin Solutions Inc · Lutz, FL
Active · expires Sep 15, 2028
CLIA Number10D1087523
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2026
Certificate Expiration DateSeptember 15, 2028
Laboratory DirectorDr. Christopher D. Ewanowski
Laboratory Phone(813) 321-1786
Laboratory LocationSuncoast Skin Solutions Inc4651 Van Dyke Rd, Lutz, FL 33558
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 10D0272561

Suncoast Skin Solutions Inc · Lecanto, FL
Active · expires Sep 29, 2028
CLIA Number10D0272561
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2026
Certificate Expiration DateSeptember 29, 2028
Laboratory DirectorDr. Ralph E. Massullo Jr
Laboratory Phone(813) 321-1786
Laboratory LocationSuncoast Skin Solutions Inc525 North Dacie Point, Lecanto, FL 34461
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 10D0690863

Suncoast Skin Solutions Inc · Clearwater, FL
Active · expires Sep 26, 2028
CLIA Number10D0690863
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2026
Certificate Expiration DateSeptember 26, 2028
Laboratory DirectorDr. Susan S. Roper
Laboratory Phone(813) 321-1786
Laboratory LocationSuncoast Skin Solutions Inc2467 Enterprise Road Suite A, Clearwater, FL 33763
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 10D2250851

Suncoast Skin Solutions Inc · Punta Gorda, FL
Active · expires Sep 21, 2028
CLIA Number10D2250851
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2026
Certificate Expiration DateSeptember 21, 2028
Laboratory DirectorThomas A. Jennings
Laboratory Phone(813) 321-1786
Laboratory LocationSuncoast Skin Solutions Inc25097 Olympia Ave Ste 202, Punta Gorda, FL 33950
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 10D1087510

Suncoast Skin Solutions Inc · Largo, FL
Active · expires Sep 15, 2028
CLIA Number10D1087510
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2026
Certificate Expiration DateSeptember 15, 2028
Laboratory DirectorDr. Christopher D. Ewanowski
Laboratory Phone(813) 321-1786
Laboratory LocationSuncoast Skin Solutions Inc11200 Seminole Blvd Ste 205, Largo, FL 33778
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 10D2079844

Suncoast Skin Solutions, Inc · Winter Haven, FL
Active · expires Sep 2, 2028
CLIA Number10D2079844
Laboratory TypePhysician Office
Certificate Effective DateSeptember 3, 2026
Certificate Expiration DateSeptember 2, 2028
Laboratory DirectorDr. Christopher Ewanowski
Laboratory Phone(813) 321-1786
Laboratory LocationSuncoast Skin Solutions, Inc429 2nd St NW, Winter Haven, FL 33881
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 8

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

XUAN DE LA TORRE PA-C
Physician Assistant
4651 VAN DYKE RD
LUTZ, FL 33558
Hillsborough County (813) 321-1786
MRS. ANDREA LOSI ESSE PA-C
Physician Assistant
4651 VAN DYKE RD
LUTZ, FL 33558
Hillsborough County (813) 321-1786
MARIAN IBRAHIM M.D.
Dermatology
4651 VAN DYKE RD
LUTZ, FL 33558
Hillsborough County (813) 321-1786
BROOKE TAYLOR BALDWIN MD
Dermatology
4651 VAN DYKE RD
LUTZ, FL 33558
Hillsborough County (813) 321-1786
CHRISTOPHER DAVID EWANOWSKI M.D.
Dermatology (Procedural Dermatology)
4651 VAN DYKE RD
LUTZ, FL 33558
Hillsborough County (813) 321-1786
ELIZABETH LEIGH MCMAHON PA
Physician Assistant
4651 VAN DYKE RD
LUTZ, FL 33558
Hillsborough County (813) 321-1786
JAINA MORAR MEHTA PA-C
Physician Assistant
4651 VAN DYKE RD
LUTZ, FL 33558
Hillsborough County (813) 321-1786
VIBA BHUVANA MALAIYANDI MD
Dermatology
4651 VAN DYKE RD
LUTZ, FL 33558
Hillsborough County (813) 321-1786

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 Suncoast Skin Solutions's NPI number?

The NPI number for Suncoast Skin Solutions is 1487827416. It was assigned to this organization in the NPPES registry on April 10, 2008.

Where is Suncoast Skin Solutions located?

Suncoast Skin Solutions is located at 4651 Van Dyke Rd, Lutz, FL 33558. The listed phone number is (813) 321-1786.

What is Suncoast Skin Solutions's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Suncoast Skin Solutions hold CLIA laboratory certificates?

Yes. 21 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 Suncoast Skin Solutions accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Suncoast Skin Solutions 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 Suncoast Skin Solutions was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.