Dermatologist LLC
Dermatologist LLC is a healthcare organization registered as MOHS-Micrographic Surgery Physician in Tampa, FL, holding Type 2 (organization) NPI 1336899061 since 2022. The authorized official on file is Olga Demidova, Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336899061 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dermatologist LLC |
| Practice address | 9724 N ARMENIA AVE STE 300, Tampa, FL, 33612 |
| Phone | 4408045996 |
| Fax | 2167584783 |
| Enumeration date | 2022-03-25 |
| Last updated in NPPES | 2026-06-04 |
Authorized official
| Name | Olga Demidova |
|---|---|
| Title | Director |
| Phone | 2162801343 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Secondary | — | — |
| 207ND0101X | MOHS-Micrographic Surgery Physician | Primary | — | — |
Copy-ready billing details
Provider: Dermatologist LLC NPI: 1336899061 Taxonomy: 207ND0101X (MOHS-Micrographic Surgery Physician) Address: 9724 N ARMENIA AVE STE 300, Tampa, FL, 33612
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174915987 | Olga Demidova | Individual | MOHS-Micrographic Surgery Physician | Tampa, FL |
| 1285282533 | Helix Dermatology and Skin Surgery Institute LLC | Organization | MOHS-Micrographic Surgery Physician | Tampa, FL |
Verify this record
Cross-check NPI 1336899061 against the authoritative CMS record: view Dermatologist LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Dermatologist LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-06-04.