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BRANDON COMPREHENSIVE DERMATOLOGY
NPI 1912390212
Clinic/Center in Brandon, FL

Active since March 10, 2015
116 S MONTCLAIR AVE, BRANDON, FL 33511(813) 685-7714 Get Directions Write a Review

NPPES record last updated: March 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brandon Comprehensive Dermatology NPPES

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

BRANDON COMPREHENSIVE DERMATOLOGY (NPI 1912390212) is a healthcare organization registered as a clinic/center in Brandon, Florida and active in the NPI registry since March 2015. The organization lists Susan Malane, Dermatologist, as its authorized official.

NPPES Registry Identity

NPI1912390212
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBRANDON COMPREHENSIVE DERMATOLOGY
Location Address116 S MONTCLAIR AVEBrandon, FL 33511-5322
Mailing Address116 S Montclair AveBrandon, FL 33511-5322 · (813) 685-7714
Phone(813) 685-7714
Organization SubpartNo
Authorized OfficialSusan MalaneDermatologist · (813) 846-7507
Enumeration DateMarch 10, 2015
✔ NPI 1912390212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in FL · OS7746
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
116 S MONTCLAIR AVE, Brandon, FL 33511
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Other Names 1

Doing Business AsBrandon Comprehensive Dermatology

Other Providers at the Same Location NPPES 3

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

BRANDON COMPREHENSIVE DERMATOLOGY PA
Dermatology
116 S MONTCLAIR AVE
BRANDON, FL 33511
Hillsborough County (813) 685-7714
DR. SUSAN LYNN MALANE D.O.
Dermatology
116 S MONTCLAIR AVE
BRANDON, FL 33511
Hillsborough County (813) 685-7714
PRAKIT JEERAPAET MD PA
Dermatology
116 S MONTCLAIR AVE
BRANDON, FL 33511
Hillsborough County (813) 685-0113

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 Brandon Comprehensive Dermatology's NPI number?

The NPI number for Brandon Comprehensive Dermatology is 1912390212. It was assigned to this organization in the NPPES registry on March 10, 2015.

Where is Brandon Comprehensive Dermatology located?

Brandon Comprehensive Dermatology is located at 116 S Montclair Ave, Brandon, FL 33511. The listed phone number is (813) 685-7714.

What is Brandon Comprehensive Dermatology's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Brandon Comprehensive Dermatology was last updated on March 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.