Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Comprehensive Dermatology

Organization Clinic/Center · NPI 1912390212

Brandon Comprehensive Dermatology is a Clinic/Center in Brandon, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015

Practice location Address checks out

116 S Montclair Ave
Brandon, FL 33511-5322
Phone: (813) 685-7714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence OS7746 (FL)

Record details

NPI number1912390212
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Malane — Dermatologist · (813) 846-7507
Other names Brandon Comprehensive Dermatology
NPI enumeratedMarch 10, 2015
Last updated in NPPESMarch 10, 2015
Mailing address116 S Montclair Ave, Brandon, FL 33511-5322

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