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

Sepideh Sepiddam

Individual provider Family Nurse Practitioner · NPI 1649975574

Sepideh Sepiddam is a Nurse Practitioner in Hollywood, Florida. Qualified in 2022, 4 years ago. Practices with Theo Medical Dermatology LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone: (800) 226-8874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 604 Trelago Way Apt 111, Maitland, FL 32751-4380 — (407) 779-4963

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11025664 (FL)

Record details

NPI number1649975574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2023
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Theo Medical Dermatology Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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