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VENICE DERMATOLOGY CLINIC PA
NPI 1801369020
Dermatology - Dermatopathology in North Port, FL

Active since January 10, 2019
3171 BOBCAT VILLAGE CENTER RD, NORTH PORT, FL 34288(941) 484-2250 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Venice Dermatology Clinic Pa NPPES

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

VENICE DERMATOLOGY CLINIC PA (NPI 1801369020), doing business as Reviance Dermatology, is a healthcare organization registered as a dermatopathology in North Port, Florida and active in the NPI registry since January 2019. The organization lists Bruce Allen Boyd, M.d./owner, as its authorized official.

NPPES Registry Identity

NPI1801369020
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameVENICE DERMATOLOGY CLINIC PA
Location Address3171 BOBCAT VILLAGE CENTER RDNorth Port, FL 34288-8974
Mailing Address1219 Jacaranda BlvdVenice, FL 34292-4520 · (941) 484-2250 · Fax (941) 484-9638
Phone(941) 484-2250
Organization SubpartYes
Authorized OfficialBruce Allen BoydM.d./owner · (941) 484-2250
Enumeration DateJanuary 10, 2019
✔ NPI 1801369020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
3171 BOBCAT VILLAGE CENTER RD, North Port, FL 34288
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Other Names 1

Doing Business AsReviance Dermatology

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

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 Venice Dermatology Clinic PA's NPI number?

The NPI number for Venice Dermatology Clinic PA is 1801369020. It was assigned to this organization in the NPPES registry on January 10, 2019. The provider is doing business as Reviance Dermatology.

Where is Venice Dermatology Clinic PA located?

Venice Dermatology Clinic PA is located at 3171 Bobcat Village Center Rd, North Port, FL 34288. The listed phone number is (941) 484-2250.

What is Venice Dermatology Clinic PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

When was this NPI record last updated?

The NPPES record for Venice Dermatology Clinic PA was last updated on January 10, 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.