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

Sunnycoast Dermatology, Inc

Organization Dermatology Physician · NPI 1962487546

Sunnycoast Dermatology, Inc provides Dermatology Physician services in Vero Beach, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
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

1850 43rd Ave Ste 4 & 5 C
Vero Beach, FL 32960-0504
Phone: (772) 299-4000
Fax: (772) 299-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME79805 (FL)

Record details

NPI number1962487546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodor Rudolph — Medical Director/Medical Doctor · (772) 299-4000
NPI enumeratedDecember 7, 2005
Last updated in NPPESAugust 22, 2020
Mailing address1850 43rd Ave, Suite 4 & 5 C, Vero Beach, FL 32960-0504

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