Summer Moon, DO
Dermatology Physician · Largo, FL
Practice location
115 Highland Ave NLargo, FL 33770
- Phone
- (727) 585-8591
- Fax
- (727) 584-0614
NPI record
- NPI
- 1457765968
- Entity type
- Individual (Type 1)
- Enumeration date
- June 12, 2014
- Last updated
- November 20, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Physician Primary | 207N00000X |
OS14644 | FL |
| Dermatology Physician | 207N00000X |
5101021452 | MI |
| Procedural Dermatology Physician | 207NS0135X |
OS14644 | FL |
Mailing address
115 Highland Ave NLargo, FL 33770-2530
- Phone
- (727) 858-8591
- Fax
- (727) 584-0614
Other practice locations (3)
- 2653 Bruce B Downs Blvd Ste 120A, Wesley Chapel, FL 33544-9206 · (813) 514-0823
- 115 Highland Ave N, Largo, FL 33770 · (727) 585-8591
- 34941 Us 19 N, Palm Harbor, FL 34684-1919 · (727) 781-7080
About Dr. Moon
Summer Moon, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Dermatology Physician (code 207N00000X). The practice location is 115 Highland Ave N, Largo, FL 33770. The NPI number 1457765968 was assigned on June 12, 2014 and the record was last updated on November 20, 2018.
Dr. Moon lists 3 licenses in the registry: #OS14644 (FL) for Dermatology Physician; #5101021452 (MI) for Dermatology Physician; #OS14644 (FL) for Procedural Dermatology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Summer Moon, DO?
The NPI number is 1457765968.
What is the phone number of Dr. Moon?
The phone number listed for the practice location is (727) 585-8591.
Where is Dr. Moon located?
115 Highland Ave N, Largo, FL 33770.
What is the taxonomy code for Dr. Moon?
The primary taxonomy code is 207N00000X – Dermatology Physician; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dermatology Physician providers in Largo
- Meira Dermatology, LLC8839 Bryan Dairy Rd Ste 115
- Lana McKinley, DO13121 66TH St
- Christopher J. Ballard, MD11200 Seminole Blvd Ste 205
- Leavitt Medical Associates of Florida Inc8250 Bryan Dairy Rd Ste 250
- Alexander Dane, D.O.8250 Bryan Dairy Rd Ste 250
- Whitney Lapolla Delozier, MD8787 Bryan Dairy Rd Ste 360
- Academic Alliance in Dermatology, PLLC1260 W Bay Dr Bldg C
- Nicholas Bradford Castner, MD8787 Bryan Dairy Rd Ste 360