Dermatology, MOHS-Micrographic Surgery
LUMINARY DERMATOLOGY, PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1851955983 · enumerated 2019-04-24 · record updated 2025-01-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mrs. JESSICA PHILLIPS, CEO · (941) 302-4669
Addresses and phones
- Practice location 2101 61ST ST W, BRADENTON, FL, 34209-5528 (941) 926-6553 Google Maps Apple Maps OpenStreetMap
- Mailing address 4411 BEE RIDGE RD, PMB 309, SARASOTA, FL, 34233-2514 (941) 926-6553 Fax (941) 296-8501 Google Maps Apple Maps OpenStreetMap
Specialties
- Specialist 174400000X
- Dermatology 207N00000X
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · Primary
- Obstetrics & Gynecology, Gynecology 207VG0400X
- Plastic Surgery 208200000X
- Surgery 208600000X
- General Practice 208D00000X
- Physician Assistant 363A00000X
- Nurse Practitioner 363L00000X
- Nurse Practitioner, Adult Health 363LA2200X
In this directory
FL Manatee County Bradenton Dermatology, MOHS-Micrographic Surgery
Locations and evidence
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Practice location
BRADENTON, FL, 342095528
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.