| Brandon Shutty, DO | |
| 7421 N University Dr Ste 307, Tamarac, FL 33321-6102 | |
| (954) 720-7272 | |
| Not Available | 
| Full Name | Brandon Shutty | 
|---|---|
| Gender | Male | 
| Speciality | Dermatology - Mohs-micrographic Surgery | 
| Location | 7421 N University Dr Ste 307, Tamarac, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598020059 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207N00000X | Dermatology | OS13979 (Florida) | Secondary | 
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | OS13979 (Florida) | Primary | 
| Entity Name | Skin And Cancer Associates | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1427017292 PECOS PAC ID: 1759284847 Enrollment ID: O20040128000060 | 
| Entity Name | Dermatology Associates Of The Palm Beaches Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649260308 PECOS PAC ID: 6709861602 Enrollment ID: O20040623001356 | 
| Entity Name | Premier Dermatology, Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700202298 PECOS PAC ID: 6002031531 Enrollment ID: O20140625001928 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brandon Shutty, DO 7421 N University Dr Ste 307, Tamarac, FL 33321-6102 Ph: (954) 720-7272 | Brandon Shutty, DO 7421 N University Dr Ste 307, Tamarac, FL 33321-6102 Ph: (954) 720-7272 | 
| Dr. Angela Combs, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7421 N. University Drive, S. 307, Tamarac, FL 33321 Phone: 954-720-7272 | |
| Denise M. Guevara, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7421 N. University Drive, S. 307, Tamarac, FL 33321 Phone: 954-720-7272 Fax: 954-720-1878 | |
| Angelo Emmanuel Ayar, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7301 N University Dr Ste 102, Tamarac, FL 33321 Phone: 954-726-2000 Fax: 954-726-3109 | |
| Dr. Richard Michael Rubenstein, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7421 N University Dr, Ste 307, Tamarac, FL 33321 Phone: 954-720-7272 Fax: 954-720-1878 | |
| Andrew Styperek, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7301 N University Dr, 102, Tamarac, FL 33321 Phone: 954-726-2000 | |
| Stacy Frankel, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6451 W. Commercial Boulevard, Tamarac, FL 33319 Phone: 954-652-0246 Fax: 954-652-0471 |