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

Dermatology and Mohs Surgery Center LLC

Organization Dermatology Physician · NPI 1679354393

Dermatology and Mohs Surgery Center LLC is a Dermatology Physician in Panama City, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12139 Panama City Beach Pkwy
Panama City, FL 32407-2609
Phone: (417) 336-0033
Fax: (855) 710-6552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1679354393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Leone — Owner · (417) 336-0033
NPI enumeratedOctober 9, 2023
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address110 Business Park Dr Ste C, Branson, MO 65616-7449

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