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

Luminary Dermatology, PA

Organization Specialist · NPI 1851955983

Luminary Dermatology, PA is a Specialist in Bradenton, Florida. Works from 11 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
10
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2101 61st St W
Bradenton, FL 34209-5528
Phone: (941) 926-6553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 819 N Mills Ave Ste D, Arcadia, FL 34266-8716 — (863) 491-2390
  • 925 Ne 30th Ter Ste 308, Homestead, FL 33033-7614 — (786) 670-9799
  • 544 Bay Isles Rd, Longboat Key, FL 34228-3129 — (941) 926-6553
  • 8740 N Kendall Dr Ste 101, Miami, FL 33176-2209 — (305) 661-8978
  • 16870 Ne 19th Ave, North Miami Beach, FL 33162-3108 — (305) 947-1466
  • 3105 Bobcat Village Center Rd, North Port, FL 34288-8974 — (941) 271-0021
  • 2032 Hawthorne St, Sarasota, FL 34239-2307 — (941) 926-6553
  • 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

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X
Specialist Taxonomy 174400000X
Dermatology Physician Taxonomy 207N00000X
Gynecology Physician Taxonomy 207VG0400X
Plastic Surgery Physician Taxonomy 208200000X
Surgery Physician Taxonomy 208600000X
General Practice Physician Taxonomy 208D00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1851955983
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Phillips — Ceo · (941) 302-4669
NPI enumeratedApril 24, 2019
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address4411 Bee Ridge Rd, Pmb 309, Sarasota, FL 34233-2514

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