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

Dr. Athena Theodosatos, DOMPH

Individual provider Dermatology Physician · NPI 1730328691

Dr. Athena Theodosatos, DOMPH is a Family Practice in Apopka, Florida. Graduated from Rowan University School of Osteopathic Medicine in 2006, 20 years ago. Practices with Theo Medical Dermatology LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
20
Trained at
Rowan University School of Osteopathic Medicine
Licensed in
FL
In the registry since
2009

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 OS10497 (FL)

Record details

NPI number1730328691
Entity typeIndividual (Type 1)
GenderFemale
Credentials DOMPH
Sole proprietorYes
NPI enumeratedFebruary 16, 2009
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesDERMATOLOGY
Medical schoolROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2006 (20 years in practice)
Group practice Theo Medical Dermatology Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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