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

Nicky Gazy

Individual provider Dermatology Physician · NPI 1104311075

Nicky Gazy is a Dermatology in Pembroke Pines, Florida. Qualified in 2018, 8 years ago. Practices with South Florida Dermatology Group, Inc, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
8
Licensed in
FL, MI
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

3 SW 129th Ave Ste 100
Pembroke Pines, FL 33027-1778
Phone: (866) 400-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5450 Fort St, Trenton, MI 48183-4601 — (734) 671-3800

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS19219 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence 5101024255 (MI)
Dermatology Physician Taxonomy 207N00000X · Licence 5151011340 (MI)

Record details

NPI number1104311075
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2018
Last updated in NPPESAugust 30, 2023
Certification dateJuly 12, 2023
Mailing address21097 Ne 27th Ct Ste 500, Aventura, FL 33180-1235

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice South Florida Dermatology Group, Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pembroke Pines