MID-FLORIDA DERMATOLOGY ASSOCIATES
NPI 1669147278
Dermatology in Lake Wales, FL

Active since August 16, 2021CLIA 10D2228544 · Certificate of Compliance
1255 HIGHWAY 60 E STE 100, LAKE WALES, FL 33853(407) 299-7333(407) 293-2049 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mid-florida Dermatology Associates NPPES

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

MID-FLORIDA DERMATOLOGY ASSOCIATES (NPI 1669147278) is a healthcare organization registered as a dermatology in Lake Wales, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Certificate of Compliance certificate valid through April 11, 2028 and lists Rita Dobson, Credentialing Dir., as its authorized official.

NPPES Registry Identity

NPI1669147278
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMID-FLORIDA DERMATOLOGY ASSOCIATES
Location Address1255 HIGHWAY 60 E STE 100Lake Wales, FL 33853-4310
Mailing Address7652 Ashley Park Ct Ste 305Orlando, FL 32835-6199 · (407) 299-7333 · Fax (407) 293-2049
Fax(407) 293-2049
Organization SubpartNo
Authorized OfficialRita DobsonCredentialing Dir. · (407) 299-7333
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
NPI 1669147278 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.
1255 HIGHWAY 60 E STE 100, Lake Wales, FL 33853

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

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 10D2228544

Mid-Florida Dermatology Associates Clear Choice Dermatology Of Fl · Lake Wales, FL
Active · expires Apr 11, 2028
CLIA Number10D2228544
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorRaymond R. Knisley
Laboratory Phone(863) 589-5685
Laboratory LocationMid-Florida Dermatology Associates Clear Choice Dermatology Of Fl1255 State Rd 60 East Ste 100, Lake Wales, FL 33853
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Mid-Florida Dermatology Associates's NPI number?

The NPI number for Mid-Florida Dermatology Associates is 1669147278. It was assigned to this organization in the NPPES registry on August 16, 2021.

Where is Mid-Florida Dermatology Associates located?

Mid-Florida Dermatology Associates is located at 1255 Highway 60 E Ste 100, Lake Wales, FL 33853. The listed phone number is (407) 299-7333.

What is Mid-Florida Dermatology Associates's specialty?

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

Does Mid-Florida Dermatology Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2228544) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mid-Florida Dermatology Associates was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.