OrganizationActive
Brandon Comprehensive Dermatology PA
NPI 1194103812 · Dermatology Physician · Brandon, FL
Provider details
- NPI number
- 1194103812
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Malane, Doctor(813) 685-7714
- License
- OS7746
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
116 S Montclair Ave
Brandon, FL 33511-5322
Phone: (813) 685-7714
Fax: (813) 685-0113
Street-level locationGet directions
Mailing address
116 S Montclair Ave
Brandon, FL 33511-5322
Registry dates
- Enumerated
- 2015-05-14
- Last updated
- 2015-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.