FLORIDA COMPREHENSIVE DERMATOLOGY – Dermatology Physician, NPI 1114814332

FLORIDA COMPREHENSIVE DERMATOLOGY is a healthcare provider. based in Ocala, Florida. specializing in Dermatology Physician. The NPI Number for FLORIDA COMPREHENSIVE DERMATOLOGY is 1114814332

Main info

Organization
Name
FLORIDA COMPREHENSIVE DERMATOLOGY
NPI
1114814332
Phone
(352) 738-7546
Address
3520 NE 43RD PL
Authorized Official
BROCK KREIENBRINK OWNER RN
Enumeration Date
20 June 2025
Last Update Date
20 June 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for FLORIDA COMPREHENSIVE DERMATOLOGY

  • 3520 NE 43RD PL

    OCALA, FL 344798899

    Phone: (352) 738-7546

    Fax: (352) 739-7546

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20251007001108OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34479)

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Reviews

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Frequently asked questions

Does FLORIDA COMPREHENSIVE DERMATOLOGY have a public NPI I can cite?
Public records show FLORIDA COMPREHENSIVE DERMATOLOGY under NPI 1114814332.
Should I treat FLORIDA COMPREHENSIVE DERMATOLOGY as an active provider?
Patients and plans typically see FLORIDA COMPREHENSIVE DERMATOLOGY as active in the national extract.
What services align with FLORIDA COMPREHENSIVE DERMATOLOGY's listing?
FLORIDA COMPREHENSIVE DERMATOLOGY's public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to FLORIDA COMPREHENSIVE DERMATOLOGY?
FLORIDA COMPREHENSIVE DERMATOLOGY is associated with Ocala, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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