Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Theo Medical Dermatology, LLC

Organization Dermatology Physician · NPI 1558707588

Theo Medical Dermatology, LLC provides Dermatology Physician services in Apopka, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3030 E Semoran Blvd Ste 258
Apopka, FL 32703-5900
Phone: (407) 671-3634
Fax: (407) 986-6033
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS38457 (FL)

Record details

NPI number1558707588
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Athena Theodosatos — Owner · (407) 671-3634
NPI enumeratedMay 16, 2013
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025
Mailing address3030 E Semoran Blvd Ste 258, Apopka, FL 32703-5900

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