What is Brandon Comprehensive Dermatology PA's NPI number?

Brandon Comprehensive Dermatology PA's National Provider Identifier (NPI) is 1194103812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Brandon Comprehensive Dermatology PA?

Brandon Comprehensive Dermatology PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).

Where is Brandon Comprehensive Dermatology PA located?

Brandon Comprehensive Dermatology PA's practice location on file with NPPES is 116 S Montclair Ave, Brandon, FL 33511-5322.

What is Brandon Comprehensive Dermatology PA's phone number?

The practice phone number listed in the NPPES registry for Brandon Comprehensive Dermatology PA is (813) 685-7714.

Who is the authorized official for Brandon Comprehensive Dermatology PA?

The authorized official listed on Brandon Comprehensive Dermatology PA's NPPES record is Susan Malane, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Brandon Comprehensive Dermatology PA's NPI active?

Yes — Brandon Comprehensive Dermatology PA's NPI (1194103812) is active in the NPPES registry as of the last update on 2015-07-07.

OrganizationActive

Brandon Comprehensive Dermatology PA

NPI 1194103812 · Dermatology Physician · Brandon, FL

Brandon Comprehensive Dermatology PA is a Dermatology Physician organization in Brandon, FL (NPI 1194103812).

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

Practice location

116 S Montclair Ave

Brandon, FL 33511-5322

Phone: (813) 685-7714

Fax: (813) 685-0113

Street-level locationGet directions

More FL providers

Mailing address

116 S Montclair Ave

Brandon, FL 33511-5322

Specialties & taxonomies

Dermatology PhysicianPrimary207N00000XLicense OS7746
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.

Enumerated: 2015-05-14
Last updated: 2015-07-07

Frequently asked questions

What is Brandon Comprehensive Dermatology PA's NPI number?: Brandon Comprehensive Dermatology PA's National Provider Identifier (NPI) is 1194103812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Brandon Comprehensive Dermatology PA?: Brandon Comprehensive Dermatology PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
Where is Brandon Comprehensive Dermatology PA located?: Brandon Comprehensive Dermatology PA's practice location on file with NPPES is 116 S Montclair Ave, Brandon, FL 33511-5322.
What is Brandon Comprehensive Dermatology PA's phone number?: The practice phone number listed in the NPPES registry for Brandon Comprehensive Dermatology PA is (813) 685-7714.
Who is the authorized official for Brandon Comprehensive Dermatology PA?: The authorized official listed on Brandon Comprehensive Dermatology PA's NPPES record is Susan Malane, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Brandon Comprehensive Dermatology PA's NPI active?: Yes — Brandon Comprehensive Dermatology PA's NPI (1194103812) is active in the NPPES registry as of the last update on 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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions