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

Summer Moon, DO

Individual provider Dermatology Physician · NPI 1457765968

Summer Moon, DO is a Dermatology in Largo, Florida. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2013, 13 years ago. Practices with Bay Dermatology and Cosmetic Surgery P A, a 25-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Michigan.

Years since qualifying
13
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
FL, MI
In the registry since
2014
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

115 Highland Ave N
Largo, FL 33770
Phone: (727) 585-8591
Fax: (727) 584-0614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 115 Highland Ave N, Largo, FL 33770 — (727) 585-8591
  • 34941 Us 19 N, Palm Harbor, FL 34684-1919 — (727) 781-7080
  • 2653 Bruce B Downs Blvd Ste 120a, Wesley Chapel, FL 33544-9206 — (813) 514-0823

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS14644 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence 5101021452 (MI)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence OS14644 (FL)

Record details

NPI number1457765968
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 12, 2014
Last updated in NPPESNovember 20, 2018
Mailing address115 Highland Ave N, Largo, FL 33770-2530

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2013 (13 years in practice)
Group practice Bay Dermatology And Cosmetic Surgery P A — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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