Organization · Type 2 NPI
Luminary Dermatology, PA
MOHS-Micrographic Surgery Physician · Bradenton, FL
Practice location
2101 61st St W
Bradenton, FL 34209-5528
Mailing address
4411 Bee Ridge Rd, Pmb 309
Sarasota, FL 34233-2514
Other practice locations
- 3105 Bobcat Village Center Rd, North Port, FL 34288-8974 · (941) 271-0021
- 819 N Mills Ave Ste D, Arcadia, FL 34266-8716 · (863) 491-2390
- 8740 N Kendall Dr Ste 101, Miami, FL 33176-2209 · (305) 661-8978
- 925 NE 30th Ter Ste 308, Homestead, FL 33033-7614 · (786) 670-9799
- 16870 NE 19th Ave, North Miami Beach, FL 33162-3108 · (305) 947-1466
- 1250 S Tamiami Trl Ste 304, Sarasota, FL 34239-2221 · (941) 263-2988
- 1901 Haverford Ave, Sun City Center, FL 33573-5200 · (941) 926-6553
- 1550 E Venice Ave, Venice, FL 34292-1661 · (941) 667-9030
- 544 Bay Isles Rd, Longboat Key, FL 34228-3129 · (941) 926-6553
- 2032 Hawthorne St, Sarasota, FL 34239-2307 · (941) 926-6553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | None listed |
| Dermatology Physician | 207N00000X | None listed |
| MOHS-Micrographic Surgery Physician Primary | 207ND0101X | None listed |
| Gynecology Physician | 207VG0400X | None listed |
| Plastic Surgery Physician | 208200000X | None listed |
| Surgery Physician | 208600000X | None listed |
| General Practice Physician | 208D00000X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…
5 other providers at this address
- Joseph M. Branconi, MDCardiovascular Disease Physician Bradenton, FL NPI 1710974340
- Kimberly French, ARNPNurse Practitioner Bradenton, FL NPI 1306820964
- Michael Gregory FossDermatology Physician Bradenton, FL NPI 1285193193
- Nadia HoganFamily Nurse Practitioner Bradenton, FL NPI 1104612704
- Robert J. Subbiondo, MDCardiovascular Disease Physician Bradenton, FL NPI 1467449017
About NPI 1851955983
Luminary Dermatology, PA's National Provider Identifier is 1851955983, issued on Apr 24, 2019. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Bradenton, FL. The record was last updated on Jan 27, 2025.