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

Venice Dermatology Clinic PA

Organization Dermatology Physician · NPI 1003007840

Venice Dermatology Clinic PA provides Dermatology Physician services in Venice, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

716 The Rialto
Venice, FL 34285-3524 Not confirmed with CMS for 15 years — call before visiting
Phone: (941) 484-2250
Fax: (941) 484-9638
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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 ME69164 (FL)

Record details

NPI number1003007840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Boyd — Owner · (941) 484-2250
NPI enumeratedAugust 7, 2007
Last updated in NPPESOctober 4, 2011
Mailing address716 The Rialto, Venice, FL 34285-3524

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