SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA
NPI 1902890239
Dermatology in Lecanto, FL

Q: What is Suncoast Dermatology And Skin Surgery Center, PA's specialty?

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

Active since September 01, 2005

525 N DACIE PT, LECANTO, FL 34461(352) 746-2200(352) 746-9320 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Suncoast Dermatology And Skin Surgery Center, Pa NPPES

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

SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA (NPI 1902890239) is a healthcare organization registered as a dermatology in Lecanto, Florida and active in the NPI registry since September 2005. The organization lists Ralph Eugene Massullo, President, as its authorized official.

NPPES Registry Identity

NPI1902890239

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameSUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA

Location Address525 N DACIE PTLecanto, FL 34461-8399

Mailing Address525 N Dacie PtLecanto, FL 34461-8399 · (352) 746-2200 · Fax (352) 746-9320

Phone(352) 746-2200

Fax(352) 746-9320

Organization SubpartNo

Authorized OfficialRalph Eugene MassulloPresident · (352) 746-2200

Enumeration DateSeptember 1, 2005

Last NPPES UpdateNovember 15, 2011

✔ NPI 1902890239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

525 N DACIE PT, Lecanto, FL 34461

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Other Identifiers 4

Medicaid377238100FL

OtherCA6816FL · Srrga

Medicare ID-Type Unspecified39435FL · Lecanto Location

Medicare ID-Type Unspecified39435AFL · Ocala Location

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

DR. WILLIAM ARCH WELTON III MD

Dermatology (MOHS-Micrographic Surgery)