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NATURA DERMATOLOGY & COSMETICS
NPI 1508952458
Clinic/Center - Medical Specialty in Fort Lauderdale, FL

Active since October 05, 2006CLIA 10D1065839 · Certificate of Compliance
1120 BAYVIEW DR, FORT LAUDERDALE, FL 33304(954) 537-4106(954) 537-4186 Get Directions Write a Review

NPPES record last updated: November 4, 2009. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Natura Dermatology & Cosmetics NPPES

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

NATURA DERMATOLOGY & COSMETICS (NPI 1508952458) is a healthcare organization registered as a medical specialty in Fort Lauderdale, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 24, 2027 and lists Willie Forrest Richardson, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1508952458
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameWILL RICHARDSON MD PA
Location Address1120 BAYVIEW DRFort Lauderdale, FL 33304-2505
Mailing Address1120 Bayview DrFort Lauderdale, FL 33304-2505 · (954) 537-4106 · Fax (954) 537-4186
Phone(954) 537-4106
Fax(954) 537-4186
Organization SubpartYesParent: Will Richardson, M.d.
Authorized OfficialWillie Forrest RichardsonSole Proprietor · (954) 537-4106
Enumeration DateOctober 5, 2006
Last NPPES UpdateNovember 4, 2009
✔ NPI 1508952458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in FL · ME94167
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1120 BAYVIEW DR, Fort Lauderdale, FL 33304
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Other Names 1

Doing Business AsNatura Dermatology & Cosmetics

Other Identifiers 2

Medicare ID-Type Unspecified30022ZFL · Medicare
Medicare UPINI02128FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 10D1065839

Will Richardson MD PA · Fort Lauderdale, FL
Active · expires Apr 24, 2027
CLIA Number10D1065839
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorDr. Will Richardson
Laboratory Phone(954) 537-4106
Laboratory LocationWill Richardson MD PA1120 Bayview Dr, Fort Lauderdale, FL 33304
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.

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.

BLAIR ANDREW FERGUSON ARNP
Nurse Practitioner (Family)
1120 BAYVIEW DR
FORT LAUDERDALE, FL 33304
Broward County (954) 537-4106
WILLIE FORREST RICHARDSON JR. MD
Dermatology
1120 BAYVIEW DR
FORT LAUDERDALE, FL 33304
Broward County (954) 537-4106
CHARLES EDWIN SCHMIDT MD
Dermatology
1120 BAYVIEW DR
FORT LAUDERDALE, FL 33304
Broward County (954) 566-1562
BROOKE HERNANDEZ PA-C
Physician Assistant
1120 BAYVIEW DR
FORT LAUDERDALE, FL 33304
Broward County (954) 537-4106
VALERIA TINA HIDALGO FNP
Nurse Practitioner (Family)
1120 BAYVIEW DR
FORT LAUDERDALE, FL 33304
Broward County (954) 537-4106
ALEXIS JENNINGS APRN
Dermatology
1120 BAYVIEW DR
FORT LAUDERDALE, FL 33304
Broward County (954) 951-4552

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 Will Richardson MD PA's NPI number?

The NPI number for Will Richardson MD PA is 1508952458. It was assigned to this organization in the NPPES registry on October 5, 2006. The provider is doing business as Natura Dermatology & Cosmetics.

Where is Will Richardson MD PA located?

Will Richardson MD PA is located at 1120 Bayview Dr, Fort Lauderdale, FL 33304. The listed phone number is (954) 537-4106.

What is Will Richardson MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Will Richardson MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1065839) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Will Richardson MD PA accept?

Health plans from AvMed list Will Richardson 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 Will Richardson MD PA was last updated on November 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.