LEGENDS DERMATOLOGY, LLC
NPI 1780081869
Dermatology in Davenport, FL
About Legends Dermatology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEGENDS DERMATOLOGY, LLC (NPI 1780081869) is a healthcare organization registered as a dermatology in Davenport, Florida and active in the NPI registry since December 2014. The organization lists Iulia Funieru, Sole Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Legends Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Legends Dermatology, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Legends Dermatology, LLC's NPI number?
The NPI number for Legends Dermatology, LLC is 1780081869. It was assigned to this organization in the NPPES registry on December 4, 2014.
Where is Legends Dermatology, LLC located?
Legends Dermatology, LLC is located at 1497 Legends Boulevard, Davenport, FL 33896. The listed phone number is (863) 738-5487.
What is Legends Dermatology, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Legends Dermatology, LLC enrolled in Medicare?
Yes. Legends Dermatology, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Legends Dermatology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Legends Dermatology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Legends Dermatology, LLC was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.