Bonita Dermatology, P.A.
NPI 1073883617 · Specialist · Bonita Springs, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bonita Dermatology, P.A. is a Specialist organization in Bonita Springs, FL (NPI 1073883617).
Provider details
- NPI number
- 1073883617
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Suzy Lee, Employee(239) 593-1632
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
- 2012-01-12
- Last updated
- 2012-02-16
Frequently asked questions
- What is Bonita Dermatology, P.A.'s NPI number?
- Bonita Dermatology, P.A.'s National Provider Identifier (NPI) is 1073883617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bonita Dermatology, P.A.?
- Bonita Dermatology, P.A. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Bonita Dermatology, P.A. located?
- Bonita Dermatology, P.A.'s practice location on file with NPPES is 9411 Fountain Medical Ct Ste 100, Bonita Springs, FL 34135-4625.
- What is Bonita Dermatology, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Bonita Dermatology, P.A. is (239) 593-1632.
- Does Bonita Dermatology, P.A. accept Medicare?
- Bonita Dermatology, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bonita Dermatology, P.A.?
- The authorized official listed on Bonita Dermatology, P.A.'s NPPES record is Suzy Lee, Employee. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bonita Dermatology, P.A.'s NPI active?
- Yes — Bonita Dermatology, P.A.'s NPI (1073883617) is active in the NPPES registry as of the last update on 2012-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.