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

Annyella Mari Douglas

Individual provider Dermatology Physician · NPI 1619438348

Annyella Mari Douglas is a Dermatology in Pembroke Pines, Florida. Graduated from Pennsylvania State University College of Medicine in 2019, 7 years ago. Practices with Leavitt Medical Associates of Florida Inc, a 195-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
7
Trained at
Pennsylvania State University College of Medicine
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

3 SW 129th Ave Ste 100
Pembroke Pines, FL 33027-1778
Phone: (866) 400-3376
Fax: (954) 217-3222
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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 ME163979 (FL)

Record details

NPI number1619438348
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023
Mailing address3 Sw 129th Ave Ste 100, Pembroke Pines, FL 33027-1778

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Leavitt Medical Associates Of Florida Inc — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pembroke Pines