| Dr Darel Dean Pruett, DO | |
|
1010 Kennedy Dr, Suite 304, Key West, FL 33040-4134 | |
| (305) 296-3334 | |
| (305) 664-9777 |
| Full Name | Dr Darel Dean Pruett |
|---|---|
| Gender | Male |
| Speciality | Dermatology - Procedural Dermatology |
| Location | 1010 Kennedy Dr, Key West, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710900923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207NS0135X | Dermatology - Procedural Dermatology | OS 0004525 (Florida) | Primary |
| Entity Name | Dermatology Group Of Florida, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497806459 PECOS PAC ID: 1153367107 Enrollment ID: O20050630000181 |
| Entity Name | Key West Dermatology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750396339 PECOS PAC ID: 6800893520 Enrollment ID: O20061023000076 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Darel Dean Pruett, DO Po Box 1910, Islamorada, FL 33036-1910 Ph: (305) 296-3334 | Dr Darel Dean Pruett, DO 1010 Kennedy Dr, Suite 304, Key West, FL 33040-4134 Ph: (305) 296-3334 |
Michael E Berman, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1411 White Street, Key West, FL 33040 Phone: 305-294-5400 Fax: 305-294-5415 | |
Brandon Shutty, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1111 12th St Ste 112, Key West, FL 33040 Phone: 305-363-4950 Fax: 305-363-4951 |