PROMENADES DERMATOLOGY, LLC
NPI 1720799232
Dermatology in Port Charlotte, FL

Active since December 06, 2022
3222 TAMIAMI TRL, PORT CHARLOTTE, FL 33952(941) 627-5155 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Promenades Dermatology, Llc NPPES

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

PROMENADES DERMATOLOGY, LLC (NPI 1720799232) is a healthcare organization registered as a dermatology in Port Charlotte, Florida and active in the NPI registry since December 2022. The organization lists Bernice Baroudi, Physician, as its authorized official.

NPPES Registry Identity

NPI1720799232
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePROMENADES DERMATOLOGY, LLC
Location Address3222 TAMIAMI TRLPort Charlotte, FL 33952-8048
Mailing Address3222 Tamiami TrlPort Charlotte, FL 33952-8048 · (941) 627-5155
Organization SubpartNo
Authorized OfficialBernice BaroudiPhysician · (941) 627-5155
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
NPI 1720799232 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.
3222 TAMIAMI TRL, Port Charlotte, FL 33952

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

Other Providers at the Same Location NPPES 4

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

Dermatology
3222 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Clinic/Center (Ambulatory Surgical)
3222 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Plastic Surgery
3222 TAMIAMI TRL
PORT CHARLOTTE, FL 33952
Specialist
3222 TAMIAMI TRL
PORT CHARLOTTE, FL 33952

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 Promenades Dermatology, LLC's NPI number?

The NPI number for Promenades Dermatology, LLC is 1720799232. It was assigned to this organization in the NPPES registry on December 6, 2022.

Where is Promenades Dermatology, LLC located?

Promenades Dermatology, LLC is located at 3222 Tamiami Trl, Port Charlotte, FL 33952. The listed phone number is (941) 627-5155.

What is Promenades Dermatology, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Promenades Dermatology, LLC was last updated on December 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.