Theo Medical Dermatology, LLC
NPI 1558707588 · Dermatology Physician · Apopka, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theo Medical Dermatology, LLC is a Dermatology Physician organization in Apopka, FL (NPI 1558707588).
Provider details
- NPI number
- 1558707588
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Athena Theodosatos, Owner(407) 671-3634
- License
- OS38457 (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
13 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
- 2013-05-16
- Last updated
- 2025-10-16
- Certified
- 2025-10-16
Frequently asked questions
- What is Theo Medical Dermatology, LLC's NPI number?
- Theo Medical Dermatology, LLC's National Provider Identifier (NPI) is 1558707588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Theo Medical Dermatology, LLC?
- Theo Medical Dermatology, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Theo Medical Dermatology, LLC located?
- Theo Medical Dermatology, LLC's practice location on file with NPPES is 3030 E Semoran Blvd Ste 258, Apopka, FL 32703-5900.
- What is Theo Medical Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Theo Medical Dermatology, LLC is (407) 671-3634.
- Does Theo Medical Dermatology, LLC accept Medicare?
- Theo Medical Dermatology, LLC 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 Theo Medical Dermatology, LLC?
- The authorized official listed on Theo Medical Dermatology, LLC's NPPES record is Athena Theodosatos, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Theo Medical Dermatology, LLC's NPI active?
- Yes — Theo Medical Dermatology, LLC's NPI (1558707588) is active in the NPPES registry as of the last update on 2025-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.