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

Colleen Renee Macinnis, MD

Individual provider Dermatology Physician · NPI 1700828290

Colleen Renee Macinnis, MD is a Dermatology in Leesburg, Florida. Graduated from University of Oklahoma College of Medicine in 1998, 28 years ago. Practices with Macinnis Dermatology, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
28
Trained at
University of Oklahoma College of Medicine
Licensed in
FL
In the registry since
2006
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

27950 US Highway 27
Leesburg, FL 34748-9050
Phone: (813) 321-1786
Fax: (813) 321-1787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17521 Us Highway 441 Ste 21, Mount Dora, FL 32757-6737 — (813) 321-1786

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME100399 (FL)

Record details

NPI number1700828290
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 11, 2006
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Macinnis Dermatology — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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