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

Sunnycoast Dermatology, Inc

Organization Dermatology Physician · NPI 1962487546

Sunnycoast Dermatology, Inc is a Dermatology Physician in Vero Beach, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
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

1850 43rd Ave Ste 4 & 5 C
Vero Beach, FL 32960-0504
Phone: (772) 299-4000
Fax: (772) 299-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME79805 (FL)

Record details

NPI number1962487546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodor Rudolph — Medical Director/Medical Doctor · (772) 299-4000
NPI enumeratedDecember 7, 2005
Last updated in NPPESAugust 22, 2020
Mailing address1850 43rd Ave, Suite 4 & 5 C, Vero Beach, FL 32960-0504

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