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

Amy Vidwans Prakash, MD

Individual provider Dermatopathology Physician · NPI 1316017759

Amy Vidwans Prakash, MD is a Dermatology in Lakeland, Florida. Graduated from Hahnemann University College of Medicine in 2002, 24 years ago. Practices with Watson Clinic LLP, a 362-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
Trained at
Hahnemann University College of Medicine
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1755 N Florida Ave
Lakeland, FL 33805-3109
Phone: (863) 904-6201
Fax: (866) 264-8519
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME95029 (FL)
Dermatopathology Physician Taxonomy 207ND0900X · Licence ME95029 (FL)

Record details

NPI number1316017759
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 9, 2006
Last updated in NPPESNovember 27, 2023
Certification dateSeptember 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Watson Clinic Llp — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount