Statewide Dermatology

  • Single-specialty group
  • Odessa, FL
  • Core specialty: Primary care
NPI1427473073PAC ID1052531035Dmand IDNG-MGR-012177
Total HCPs
5
Nurses
5
Executives
4
Medicare Part B payments
$662,238
Address
17121 Rainbow Ter, Odessa, FL 33556-2107
Main phone
(813) 749-0907
Specialty areas
Primary care
Website and social

Parent organization

Statewide Dermatology

Independent practice · Tampa, Florida

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Statewide Dermatology is a primary care medical group in Odessa, Florida

Statewide Dermatology is part of Statewide Dermatology.

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; and Dmand AI Affiliation Data

Statewide Dermatology has 4 executives and leaders in Dmand AI

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Source: Dmand AI Executive Data

Statewide Dermatology's NPI is 1427473073 and its PAC ID is 1052531035

Identifiers
Primary NPI (Type 2)
1427473073NPI Registry (opens in a new tab)
Medicare PAC ID
1052531035
Dmand ID
NG-MGR-012177
Medicare enrollment
Enrolled (PAC ID on file)
Contact
Address
17121 Rainbow Ter, Odessa, FL 33556-2107
Main phone
(813) 749-0907
Executive emails and mobiles
Get contacts
Classification
Group type
Single-specialty
Core specialty
Primary care
Site structure
Single-site
Ownership model
Clinician owned
Leadership
Led by non-physicians
Medicare Part B payments
$662,238
Legal name
State Wide Dermatology "llc"

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); Dmand AI Org Hierarchy Data; Dmand AI Organization Profile Data; and Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data

Statewide Dermatology is part of Statewide Dermatology

Dmand AI places Statewide Dermatology under Statewide Dermatology, an independent practice.

  • Statewide DermatologyIndependent practice
  • Statewide DermatologySingle-specialty medical group · Odessa, FL

Source: Dmand AI Org Hierarchy Data

Org hierarchy

Map Statewide Dermatology's entire network

See how Statewide Dermatology connects to Statewide Dermatology: its parent organizations, sister groups and every site of care in between, with the HCPs and leaders at each one.

Statewide Dermatology has 5 HCPs, all nurses

View all 5 HCPs

Sources: NPPES NPI Registry (CMS); Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data

Statewide Dermatology practices at one location in Odessa

Statewide Dermatology practice locations

Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data

Full footprint

See every site where Statewide Dermatology HCPs practice

Open all 1 practice location with facility phones, patient visits and the HCPs at each site.

Statewide Dermatology is a primary care group

Primary care is Statewide Dermatology's core specialty, with nurse practitioner as its main practice type.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Affiliation Data

Dmand AI tracks the EHR at Statewide Dermatology

Vendor and product names for the practice are available with a free account.

EHR systems at Statewide Dermatology
SiteEHR vendorProduct
PracticeAvailable with a free accountAvailable with a free account

Source: Dmand AI Technology Install Data

Primary care groups in Florida similar in size to Statewide Dermatology

These primary care groups have the closest number of HCPs to Statewide Dermatology.

See all 4,416 primary care groups in Florida

Sources: Dmand AI Affiliation Data; and Dmand AI Peer Benchmarks

Sources for Statewide Dermatology data

Sources for the data on this page
Data on this pageSource
NPI, PAC ID and addressNPPES NPI Registry (CMS) (opens in a new tab)Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Dmand ID, phone, website, LinkedIn and group profileDmand AI Org Hierarchy DataDmand AI Organization Profile Data
Medicare Part B paymentsMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
Parent organizations and sister groupsDmand AI Org Hierarchy Data
HCPs and physician specialtiesNPPES NPI Registry (CMS) (opens in a new tab)Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data
Specialty areasDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Affiliation Data
Practice locations and hospitalsDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data
Executives and departmentsDmand AI Executive Data
Similar groupsDmand AI Affiliation DataDmand AI Peer Benchmarks
EHR vendorsDmand AI Technology Install Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Statewide Dermatology

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Statewide Dermatology's NPI number?

Statewide Dermatology's primary NPI (Type 2) is 1427473073.

What is Statewide Dermatology's PAC ID?

Statewide Dermatology's Medicare PAC ID is 1052531035, which means the group is enrolled in Medicare.

Where is Statewide Dermatology located?

Statewide Dermatology is at 17121 Rainbow Ter, Odessa, FL 33556-2107.

What is Statewide Dermatology's phone number?

Statewide Dermatology's main phone number is (813) 749-0907.

Who owns Statewide Dermatology?

Dmand AI places Statewide Dermatology under Statewide Dermatology, an independent practice.

How many clinicians does Statewide Dermatology have?

Dmand AI links 5 HCPs to Statewide Dermatology.

What specialties does Statewide Dermatology cover?

Statewide Dermatology is a primary care group.

How much does Statewide Dermatology receive from Medicare?

CMS data shows $662,238 in Medicare Part B payments to Statewide Dermatology.

Selling to primary care groups?

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