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LUMINARY DERMATOLOGY, PA
NPI 1851955983
Dermatology - MOHS-Micrographic Surgery in Bradenton, FL

Active since April 24, 2019
2101 61ST ST W, BRADENTON, FL 34209(941) 926-6553 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2020, Oct 2, 2019, Sep 25, 2019 and 1 more (4 updates tracked since 2019).

About Luminary Dermatology, Pa NPPES

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

LUMINARY DERMATOLOGY, PA (NPI 1851955983) is a healthcare organization registered as a mohs-micrographic surgery in Bradenton, Florida and active in the NPI registry since April 2019. The organization maintains 10 additional practice locations and lists Jessica Lynn Phillips, Ceo, as its authorized official.

NPPES Registry Identity

NPI1851955983
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameLUMINARY DERMATOLOGY, PA
Location Address2101 61ST ST WBradenton, FL 34209-5528
Mailing Address4411 Bee Ridge Rd, Pmb 309Sarasota, FL 34233-2514 · (941) 926-6553 · Fax (941) 296-8501
Phone(941) 926-6553
Organization SubpartNo
Authorized OfficialJessica Lynn PhillipsCeo · (941) 302-4669
Enumeration DateApril 24, 2019
Last NPPES UpdateJanuary 27, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1851955983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedSpecialistTaxonomy 174400000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
2101 61ST ST W, Bradenton, FL 34209
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Secondary Practice Locations 10

Location 1544 Bay Isles RdLongboat Key, FL 34228-3129 · Phone (941) 926-6553 · Fax (941) 296-8501
Location 21250 S Tamiami Trl Ste 304Sarasota, FL 34239-2221 · Phone (941) 263-2988 · Fax (941) 296-8501
Location 31550 E Venice AveVenice, FL 34292-1661 · Phone (941) 667-9030 · Fax (941) 296-8501
Location 41901 Haverford AveSun City Center, FL 33573-5200 · Phone (941) 926-6553 · Fax (941) 296-8501
Location 52032 Hawthorne StSarasota, FL 34239-2307 · Phone (941) 926-6553 · Fax (941) 296-8501
Location 63105 Bobcat Village Center RdNorth Port, FL 34288-8974 · Phone (941) 271-0021 · Fax (941) 296-8501
Location 7819 N Mills Ave Ste DArcadia, FL 34266-8716 · Phone (863) 491-2390 · Fax (941) 296-8501
Location 88740 N Kendall Dr Ste 101Miami, FL 33176-2209 · Phone (305) 661-8978 · Fax (941) 296-8501
Location 9925 NE 30th Ter Ste 308Homestead, FL 33033-7614 · Phone (786) 670-9799 · Fax (941) 296-8501
Location 1016870 NE 19th AveNorth Miami Beach, FL 33162-3108 · Phone (305) 947-1466 · Fax (305) 944-0692

Other Identifiers 1

OtherB8XVQFL · Florida Blue

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

NADIA HOGAN
Nurse Practitioner (Family)
2101 61ST ST W
BRADENTON, FL 34209
Manatee County (941) 667-9070
MICHAEL GREGORY FOSS
Dermatology
2101 61ST ST W
BRADENTON, FL 34209
Manatee County (941) 677-9070
KIMBERLY FRENCH ARNP
Nurse Practitioner
2101 61ST ST W
BRADENTON, FL 34209
Manatee County (941) 761-4448
ROBERT J SUBBIONDO MD
Internal Medicine (Cardiovascular Disease)
2101 61ST ST W
BRADENTON, FL 34209
Manatee County (941) 761-4448
JOSEPH M BRANCONI MD
Internal Medicine (Cardiovascular Disease)
2101 61ST ST W
BRADENTON, FL 34209
Manatee County (941) 761-4448

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 Luminary Dermatology, PA's NPI number?

The NPI number for Luminary Dermatology, PA is 1851955983. It was assigned to this organization in the NPPES registry on April 24, 2019.

Where is Luminary Dermatology, PA located?

Luminary Dermatology, PA is located at 2101 61st St W, Bradenton, FL 34209. The listed phone number is (941) 926-6553.

What is Luminary Dermatology, PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

What insurance does Luminary Dermatology, PA accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Luminary Dermatology, PA 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 Luminary Dermatology, PA was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.