1. Home
  2. Directory
  3. Florida
  4. Vero Beach
  5. Dermatology
  6. NPI Profile

SUNNYCOAST DERMATOLOGY, INC.
NPI 1962487546
Dermatology in Vero Beach, FL

Active since December 07, 2005CLIA 10D0995867 · Certificate of Compliance
1850 43RD AVE, SUITE 4 & 5 C, VERO BEACH, FL 32960(772) 299-4000(772) 299-4001 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sunnycoast Dermatology, Inc. NPPES

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

SUNNYCOAST DERMATOLOGY, INC. (NPI 1962487546) is a healthcare organization registered as a dermatology in Vero Beach, Florida and active in the NPI registry since December 2005. The organization holds a CLIA Certificate of Compliance certificate valid through February 12, 2028 and lists Theodor Major Rudolph, Medical Director/medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1962487546
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSUNNYCOAST DERMATOLOGY, INC.
Location Address1850 43RD AVE, SUITE 4 & 5 CVero Beach, FL 32960-0504
Mailing Address1850 43rd Ave, Suite 4 & 5 CVero Beach, FL 32960-0504 · (772) 299-4000 · Fax (772) 299-4001
Phone(772) 299-4000
Fax(772) 299-4001
Organization SubpartNo
Authorized OfficialTheodor Major RudolphMedical Director/medical Doctor · (772) 299-4000
Enumeration DateDecember 7, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962487546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME79805
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.
1850 43RD AVE, Vero Beach, FL 32960
Open in Google Maps ↗

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

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 10D0995867

Sunnycoast Dermatology Inc · Vero Beach, FL
Active · expires Feb 12, 2028
CLIA Number10D0995867
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorTheodor M. Rudolph
Laboratory Phone(772) 299-4000
Laboratory LocationSunnycoast Dermatology Inc3900 20th Street, Vero Beach, FL 32960
CLIA data matches this NPI record on: Name Phone
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 4

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

TARGETED TREATMENT SOLUTIONS
Community/Behavioral Health
1850 43RD AVE, SUITE C-10
VERO BEACH, FL 32960
Indian River County (772) 226-0812
MS. HELEN JESSUP MURRAY LMHC
Counselor (Mental Health)
1850 43RD AVE, SUITE C-11
VERO BEACH, FL 32960
Indian River County (772) 770-4501
MS. SHAKTI SUTRIASA MSW
Social Worker (Clinical)
1850 43RD AVE, C-11
VERO BEACH, FL 32960
Indian River County (772) 321-2291
MR. JAMES JOSEPH NORCONK III MMHC,CAP
Counselor (Addiction (Substance Use Disorder))
1850 43RD AVE, SUITE C-10
VERO BEACH, FL 32960
Indian River County (772) 226-0812

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 Sunnycoast Dermatology, Inc.'s NPI number?

The NPI number for Sunnycoast Dermatology, Inc. is 1962487546. It was assigned to this organization in the NPPES registry on December 7, 2005.

Where is Sunnycoast Dermatology, Inc. located?

Sunnycoast Dermatology, Inc. is located at 1850 43rd Ave Suite 4 & 5 C, Vero Beach, FL 32960. The listed phone number is (772) 299-4000.

What is Sunnycoast Dermatology, Inc.'s specialty?

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

Does Sunnycoast Dermatology, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0995867) is associated with this NPI, valid through February 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sunnycoast Dermatology, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.