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

Florida Dermatology Associates Inc

Organization MOHS-Micrographic Surgery Physician · NPI 1073577136

Florida Dermatology Associates Inc provides MOHS-Micrographic Surgery Physician services in Palm Bay, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5070 Minton Rd NW Ste 5
Palm Bay, FL 32907-1157
Phone: (321) 768-1600
Fax: (321) 768-6418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence ME51282 (FL)

Record details

NPI number1073577136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruben Moreno — President · (321) 768-1600
Other names Palm Bay Dermatology; Palm Bay Dermatology
NPI enumeratedApril 14, 2006
Last updated in NPPESNovember 10, 2023
Certification dateNovember 10, 2023
Mailing address5070 Minton Rd Nw, Suite 3a, Palm Bay, FL 32907-1157

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