SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA – Dermatology Physician, NPI 1902890239

Dermatology Physician

SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA is a healthcare provider. based in Lecanto, Florida. specializing in Dermatology Physician. The NPI Number for SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA is 1902890239

Main info

Organization

Name

SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA

NPI

1902890239

Phone

(352) 746-2200

Address

525 N DACIE PT

Authorized Official

DR. RALPH EUGENE MASSULLO JR. PRESIDENT MD

Enumeration Date

1 September 2005

Last Update Date

15 November 2011

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience55

Completeness75

Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA

525 N DACIE PT
LECANTO, FL 344618399
Phone: (352) 746-2200
Fax: (352) 746-9320
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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 34461)

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Reviews

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Frequently asked questions

How is SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA identified in CMS data?

CMS-hosted NPPES data lists SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA with NPI 1902890239.

Can I rely on SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA being an active provider?

As of the registry snapshot, SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA is marked active.

What taxonomy line describes SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA?

For research purposes, treat SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA on a map?

Expect Lecanto, Florida as a primary anchor for SUNCOAST DERMATOLOGY AND SKIN SURGERY CENTER, PA unless the record lists multiple sites.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.