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

Sepideh Sepiddam

Individual provider Family Nurse Practitioner · NPI 1649975574

Sepideh Sepiddam is a Nurse Practitioner in Hollywood, Florida. Qualified in 2022, 4 years ago. Practices with Theo Medical Dermatology LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone: (800) 226-8874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 604 Trelago Way Apt 111, Maitland, FL 32751-4380 — (407) 779-4963

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11025664 (FL)

Record details

NPI number1649975574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2023
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024
Mailing address3800 S Ocean Dr Ste 209, Hollywood, FL 33019-2915

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Theo Medical Dermatology Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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