Sunshine State Dermatology and Skin Cancer Center Inc
NPI 1164122347 · MOHS-Micrographic Surgery Physician · North Port, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sunshine State Dermatology and Skin Cancer Center Inc is a MOHS-Micrographic Surgery Physician organization in North Port, FL (NPI 1164122347).
Provider details
- NPI number
- 1164122347
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adam Greenberg, President(941) 282-3376
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Pediatric Dermatology Physician207NP0225X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Other names (DBA / former)
- Doing business as
- Sunshine State Dermatology and Skin Cancer Center
- Doing business as
- Sunshine State Dermatology and Skin Cancer Center
- Other name
- Sunshine State Dermatology and Skin Cancer Center Inc
Additional practice locations (1)
- 12497 Tamiami Trl S Ste 1North Port, FL 34287-1415Phone: (941) 282-3376Fax: (941) 282-3378
Registry dates
- Enumerated
- 2023-03-07
- Last updated
- 2024-07-31
- Certified
- 2024-07-31
Frequently asked questions
- What is Sunshine State Dermatology and Skin Cancer Center Inc's NPI number?
- Sunshine State Dermatology and Skin Cancer Center Inc's National Provider Identifier (NPI) is 1164122347, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sunshine State Dermatology and Skin Cancer Center Inc?
- Sunshine State Dermatology and Skin Cancer Center Inc is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Sunshine State Dermatology and Skin Cancer Center Inc located?
- Sunshine State Dermatology and Skin Cancer Center Inc's practice location on file with NPPES is 12497 Tamiami Trl S, Unit 1, North Port, FL 34287-1415.
- What is Sunshine State Dermatology and Skin Cancer Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Sunshine State Dermatology and Skin Cancer Center Inc is (941) 282-3376.
- Does Sunshine State Dermatology and Skin Cancer Center Inc accept Medicare?
- Sunshine State Dermatology and Skin Cancer Center Inc 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 Sunshine State Dermatology and Skin Cancer Center Inc?
- The authorized official listed on Sunshine State Dermatology and Skin Cancer Center Inc's NPPES record is Adam Greenberg, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sunshine State Dermatology and Skin Cancer Center Inc's NPI active?
- Yes — Sunshine State Dermatology and Skin Cancer Center Inc's NPI (1164122347) is active in the NPPES registry as of the last update on 2024-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.