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

Lakeside Dermatology LLC

Organization Dermatology Physician · NPI 1922257260

Lakeside Dermatology LLC is a Dermatology Physician in Sebring, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
Specialties on file
2
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

727 US 27 S
Sebring, FL 33870-2169
Phone: (863) 385-7183
Fax: (863) 385-0088
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME0058778 (FL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence ME0058778 (FL)

Record details

NPI number1922257260
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Rogers — Sole Mbr · (863) 385-7183
NPI enumeratedSeptember 11, 2008
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024
Mailing address727 Us 27 S, Sebring, FL 33870-2169

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