Brandon Comprehensive Dermatology – Clinic/Center, NPI 1912390212

Brandon Comprehensive Dermatology is a healthcare provider. based in Brandon, Florida. specializing in Clinic/Center. The organization holds a License No. OS7746 (FL). The NPI Number for Brandon Comprehensive Dermatology is 1912390212

Main info

Organization
Name
Brandon Comprehensive Dermatology
NPI
1912390212
Phone
(813) 685-7714
Address
116 S MONTCLAIR AVE
Authorized Official
SUSAN MALANE DERMATOLOGIST D.O.
Enumeration Date
10 March 2015
Last Update Date
10 March 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness80
Years active:11State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Brandon Comprehensive Dermatology

  • 116 S MONTCLAIR AVE

    BRANDON, FL 335115322

    Phone: (813) 685-7714

    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

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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 ·

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

Insurance plans in this area (ZIP 33511)

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Frequently asked questions

Can I cross-check Brandon Comprehensive Dermatology using NPI 1912390212?
NPI 1912390212 belongs to Brandon Comprehensive Dermatology; compare other details if you need extra assurance.
Is there an active status for Brandon Comprehensive Dermatology?
For scheduling context, Brandon Comprehensive Dermatology is shown as active in the registry.
What area of care is associated with Brandon Comprehensive Dermatology?
Brandon Comprehensive Dermatology's record emphasizes Clinic/Center. Clinical services aligned with this taxonomy classification.
Is Brandon Comprehensive Dermatology located near Brandon?
Brandon Comprehensive Dermatology currently maps to Brandon, Florida in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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