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LAKESIDE DERMATOLOGY LLC
NPI 1922257260
Dermatology in Sebring, FL

Active since September 11, 2008CLIA 10D2152321 · Certificate of Compliance
727 US 27 S, SEBRING, FL 33870(863) 385-7183(863) 385-0088 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Dermatology Llc NPPES

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

LAKESIDE DERMATOLOGY LLC (NPI 1922257260) is a healthcare organization registered as a dermatology in Sebring, Florida and active in the NPI registry since September 2008. The organization holds a CLIA Certificate of Compliance certificate valid through December 9, 2026 and lists Michael Joseph Rogers, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1922257260
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAKESIDE DERMATOLOGY LLC
Location Address727 US 27 SSebring, FL 33870-2169
Mailing Address727 Us 27 SSebring, FL 33870-2169 · (863) 385-7183 · Fax (863) 385-0088
Phone(863) 385-7183
Fax(863) 385-0088
Organization SubpartNo
Authorized OfficialMichael Joseph RogersSole Mbr · (863) 385-7183
Enumeration DateSeptember 11, 2008
Last NPPES UpdateDecember 19, 2024
NPPES CertifiedDecember 19, 2024
✔ NPI 1922257260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME0058778
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 · Procedural DermatologyTaxonomy 207NS0135X · License ME0058778 (FL)
727 US 27 S, Sebring, FL 33870
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2152321

Lakeside Dermatology · Sebring, FL
Active · expires Dec 9, 2026
CLIA Number10D2152321
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorAlexander W. Kennon
Laboratory Phone(863) 659-4201
Laboratory LocationLakeside Dermatology727 Us Hwy 27 S, Sebring, FL 33870
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

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

MICHAEL J. ROGERS MD
Dermatology
727 US 27 S
SEBRING, FL 33870
Highlands County (863) 385-7183
PATRICIA A MULDER ARNP-C
Nurse Practitioner
727 US 27 S
SEBRING, FL 33870
Highlands County (863) 385-7183

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 Lakeside Dermatology LLC's NPI number?

The NPI number for Lakeside Dermatology LLC is 1922257260. It was assigned to this organization in the NPPES registry on September 11, 2008.

Where is Lakeside Dermatology LLC located?

Lakeside Dermatology LLC is located at 727 Us 27 S, Sebring, FL 33870. The listed phone number is (863) 385-7183.

What is Lakeside Dermatology LLC's specialty?

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

Does Lakeside Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2152321) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeside Dermatology LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lakeside Dermatology LLC 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 Lakeside Dermatology LLC was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.