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

Charles Luckey Dunn, MD

Individual provider Dermatology Physician · NPI 1477976082

Charles Luckey Dunn, MD is a Dermatology in Port Orange, Florida. Graduated from Wake Forest University School of Medicine in 2014, 12 years ago. Practices with Leavitt Medical Associates of Florida Inc, a 195-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Trained at
Wake Forest University School of Medicine
Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1720 Dunlawton Ave Ste 2
Port Orange, FL 32127-2916
Phone: (866) 400-3376
Fax: (386) 322-8370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence ME150625 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence ME150625 (FL)

Record details

NPI number1477976082
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 3, 2014
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Leavitt Medical Associates Of Florida Inc — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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