TIM IOANNIDES MD LLC NPI 1659339497

NPI Information

  • NPI: 1659339497
  • Provider Name: TIM IOANNIDES MD LLC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Doing Business As: TREASURE COAST DERMATOLOGY
  • Address: 140 SW CHAMBER CT
    SUITE 200
    PORT ST LUCIE, FL
    ZIP 34986
  • Phone: (772) 878-3376

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NPI Details

TIM IOANNIDES MD LLC is a dermatology in Port St Lucie, FL. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. TIM IOANNIDES MD LLC NPI is 1659339497. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Treasure Coast Dermatology.

The provider's business location address is:

140 SW CHAMBER CT
SUITE 200
PORT ST LUCIE, FL
ZIP 34986-414
Phone: (772) 878-3376
Fax: (772) 879-9970

The provider's authorized official is Tim Ioannides .
The authorized official title is Owner and has the following contact phone number (772) 878-3376.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 12/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
174907OTHERFLORIDABCBS GROUP #
2DA2154OTHERFLORIDARAILROAD MEDICARE
3K4485MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE GROUP#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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