Boca Grande Dermatology PLLC
NPI 1063836773 · Dermatology Physician · Boca Grande, FL
Boca Grande Dermatology PLLC is a Dermatology Physician organization in Boca Grande, FL (NPI 1063836773).
Provider details
- NPI number
- 1063836773
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Corey, Manager(941) 855-9372
- License
- ME116621 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-02-17
- Last updated
- 2014-12-09
Frequently asked questions
- What is Boca Grande Dermatology PLLC's NPI number?
- Boca Grande Dermatology PLLC's National Provider Identifier (NPI) is 1063836773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boca Grande Dermatology PLLC?
- Boca Grande Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Boca Grande Dermatology PLLC located?
- Boca Grande Dermatology PLLC's practice location on file with NPPES is 320 Park Avenue, Boca Grande, FL 33921.
- What is Boca Grande Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Boca Grande Dermatology PLLC is (941) 964-0490.
- Who is the authorized official for Boca Grande Dermatology PLLC?
- The authorized official listed on Boca Grande Dermatology PLLC's NPPES record is Timothy Corey, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boca Grande Dermatology PLLC's NPI active?
- Yes — Boca Grande Dermatology PLLC's NPI (1063836773) is active in the NPPES registry as of the last update on 2014-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.