Porter Premier Dermatology and Surgery Center, PLLC
NPI 1104152495 · Dermatology Physician · Melbourne, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Porter Premier Dermatology and Surgery Center, PLLC is a Dermatology Physician organization in Melbourne, FL (NPI 1104152495).
Provider details
- NPI number
- 1104152495
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Porter, Owner(321) 308-0659
- License
- ME96233 (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
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 6032 Farcenda Pl Ste 102Melbourne, FL 32940-7341Phone: (321) 608-8160Fax: (321) 622-6818
- 1344 S Apollo Blvd Ste 300Melbourne, FL 32901-3183Phone: (321) 308-0659Fax: (321) 309-2881
Registry dates
- Enumerated
- 2009-10-22
- Last updated
- 2018-03-17
Frequently asked questions
- What is Porter Premier Dermatology and Surgery Center, PLLC's NPI number?
- Porter Premier Dermatology and Surgery Center, PLLC's National Provider Identifier (NPI) is 1104152495, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Porter Premier Dermatology and Surgery Center, PLLC?
- Porter Premier Dermatology and Surgery Center, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Porter Premier Dermatology and Surgery Center, PLLC located?
- Porter Premier Dermatology and Surgery Center, PLLC's practice location on file with NPPES is 1515 W Nasa Blvd Ste 101, Melbourne, FL 32901-2605.
- What is Porter Premier Dermatology and Surgery Center, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Porter Premier Dermatology and Surgery Center, PLLC is (321) 308-0659.
- Does Porter Premier Dermatology and Surgery Center, PLLC accept Medicare?
- Porter Premier Dermatology and Surgery Center, PLLC 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 Porter Premier Dermatology and Surgery Center, PLLC?
- The authorized official listed on Porter Premier Dermatology and Surgery Center, PLLC's NPPES record is Anthony Porter, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Porter Premier Dermatology and Surgery Center, PLLC's NPI active?
- Yes — Porter Premier Dermatology and Surgery Center, PLLC's NPI (1104152495) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.