OrganizationActive
Florida Dermatology Associates Inc
NPI 1073577136 · MOHS-Micrographic Surgery Physician · Palm Bay, FL
Provider details
- NPI number
- 1073577136
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Ruben Moreno, President
- License
- ME51282 (FL)
Practice location
5070 Minton Rd Nw
Suite 5
Palm Bay, FL 32907-1157
Phone: (321) 768-1600
Fax: (321) 768-6418
Mailing address
5070 Minton Rd Nw
Palm Bay, FL 32907-1157
Registry dates
- Enumerated
- 2006-04-14
- Last updated
- 2023-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.