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

Theo Medical Dermatology, LLC

Organization Dermatology Physician · NPI 1558707588

Theo Medical Dermatology, LLC is a Dermatology Physician in Apopka, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3030 E Semoran Blvd Ste 258
Apopka, FL 32703-5900
Phone: (407) 671-3634
Fax: (407) 986-6033
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS38457 (FL)

Record details

NPI number1558707588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Athena Theodosatos — Owner · (407) 671-3634
NPI enumeratedMay 16, 2013
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address3030 E Semoran Blvd Ste 258, Apopka, FL 32703-5900

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