FLORIDA DERMATOLOGY & SKIN CANCER CENTERS – NPI #1205066404
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

FLORIDA DERMATOLOGY & SKIN CANCER CENTERS is a dermatologist located in WINTER HAVEN, FL. NPPES has assigned the NPI number 1205066404 to FLORIDA DERMATOLOGY & SKIN CANCER CENTERS on July 22, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FLORIDA DERMATOLOGY & SKIN CANCER CENTERS” is a dba name, the actual legal business name for this organization is K WADE FOSTER MD PA. According to the NPI Registry, there are 11 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 6 years ago on Apr 06, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FLORIDA DERMATOLOGY & SKIN CANCER CENTERS below.

NPI Profile for
K WADE FOSTER MD PA

NPI Number
1205066404
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
K WADE FOSTER MD PA
Doing Business As (dba): FLORIDA DERMATOLOGY & SKIN CANCER CENTERS
Primary location
1450 6TH ST SE
WINTER HAVEN, FL 33880
Phone: (863) 293-2147 Fax: (863) 294-2767
11 Other location(s):
609 Indian Rocks Rd
Belleair, FL 33756-2056
Phone: (855) 353-7546
Fax: (727) 315-0911
26800 S Tamiami Trl Ste 360
Bonita Springs, FL 34134-4355
Phone: (855) 353-7546
Fax: (239) 676-0208
3725 S Hwy 27 Ste 105
Clermont, FL 34711-7600
Phone: (855) 353-7546
Fax: (352) 533-4391
700 SE 5th Ter # 78
Crystal River, FL 34429-4878
Phone: (855) 353-7546
Fax: (352) 364-9202
2502 Sand Mine Rd
Davenport, FL 33897-3402
Phone: (855) 353-7546
Fax: (863) 216-5896
931 S US Highway 41
Inverness, FL 34450-6860
Phone: (855) 353-7546
Fax: (352) 637-0788
836 Highway 466
Lady Lake, FL 32159-3918
Phone: (855) 353-7546
Fax: (352) 775-4413
421 Linden Ln
Lake Wales, FL 33853-4342
Phone: (855) 353-7546
Fax: (863) 676-1015
6020 Park Blvd N
Pinellas Park, FL 33781-3228
Phone: (855) 353-7546
Fax: (727) 478-2909
3200 Medical Way
Sebring, FL 33870-3375
Phone: (855) 353-7546
Fax: (863) 333-6520
1052 Downing Cir
Wauchula, FL 33873-3358
Phone: (855) 353-7546
Fax: (863) 774-3526
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LISA MCCARRELL
PRACTICE ADMIN
Phone: (863) 293-2147
Updated
Certification Date
Apr 06, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.