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

Florida Dermatology Associates Inc

Organization MOHS-Micrographic Surgery Physician · NPI 1073577136

Florida Dermatology Associates Inc is an MOHS-Micrographic Surgery Physician in Palm Bay, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5070 Minton Rd NW Ste 5
Palm Bay, FL 32907-1157
Phone: (321) 768-1600
Fax: (321) 768-6418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence ME51282 (FL)

Record details

NPI number1073577136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruben Moreno — President · (321) 768-1600
Other names Palm Bay Dermatology; Palm Bay Dermatology
NPI enumeratedApril 14, 2006
Last updated in NPPESNovember 10, 2023
Certification dateNovember 10, 2023
Mailing address5070 Minton Rd Nw, Suite 3a, Palm Bay, FL 32907-1157

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