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WATERSIDE DERMATOLOGY PLLC
NPI 1639856297
Dermatology in Bradenton, FL

Active since July 05, 2023CLIA 10D2315689 · Certificate of Compliance
300 RIVERSIDE DR E STE 2200, BRADENTON, FL 34208(941) 748-3376(941) 748-7562 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2025, Jul 5, 2023 (2 updates tracked since 2023).

About Waterside Dermatology Pllc NPPES

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

WATERSIDE DERMATOLOGY PLLC (NPI 1639856297) is a healthcare organization registered as a dermatology in Bradenton, Florida and active in the NPI registry since July 2023. The organization holds a CLIA Certificate of Compliance certificate valid through November 17, 2027 and lists Erfon Ekhlassi, Owner And Physician, as its authorized official.

NPPES Registry Identity

NPI1639856297
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameWATERSIDE DERMATOLOGY PLLC
Location Address300 RIVERSIDE DR E STE 2200Bradenton, FL 34208-1023
Mailing Address300 Riverside Dr E Ste 2200Bradenton, FL 34208-1023 · (941) 748-3376 · Fax (941) 748-7562
Phone(941) 748-3376
Fax(941) 748-7562
Organization SubpartNo
Authorized OfficialErfon EkhlassiOwner And Physician · (941) 748-3376
Enumeration DateJuly 5, 2023
Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1639856297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
300 RIVERSIDE DR E STE 2200, Bradenton, FL 34208
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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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).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 10D2315689

Waterside Dermatology PLLC · Bradenton, FL
Active · expires Nov 17, 2027
CLIA Number10D2315689
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorErfon Ekhlassi
Laboratory Phone(941) 748-3376
Laboratory LocationWaterside Dermatology PLLC300 Riverside Dr E Suite 2200, Bradenton, FL 34208
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 2

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

ERFON EKHLASI MD
Dermatology
300 RIVERSIDE DR E STE 2200
BRADENTON, FL 34208
Manatee County (941) 748-3376
DAVID C AUNG-DIN MD
Dermatology
300 RIVERSIDE DR E STE 2200
BRADENTON, FL 34208
Manatee County (941) 794-5246

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 Waterside Dermatology PLLC's NPI number?

The NPI number for Waterside Dermatology PLLC is 1639856297. It was assigned to this organization in the NPPES registry on July 5, 2023.

Where is Waterside Dermatology PLLC located?

Waterside Dermatology PLLC is located at 300 Riverside Dr E Ste 2200, Bradenton, FL 34208. The listed phone number is (941) 748-3376.

What is Waterside Dermatology PLLC's specialty?

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

Does Waterside Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2315689) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Waterside Dermatology PLLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Waterside Dermatology PLLC 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 Waterside Dermatology PLLC was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.