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NPISignal

Individual Healthcare Provider

Tiffanie Wong, DO

NPI Record: ActiveDermatology
NPI1518385475
Pinellas Park, Florida

Provider's NPPES record last updated: September 27, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1518385475
Primary Specialty
Dermatology
Practice Location
Pinellas Park, Florida
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:00 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dermatology

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207N00000X
  • Family Medicine

    Allopathic & Osteopathic Physicians

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Dermatology (Florida)
OS14348
Family Medicine (Florida)
OS14348
Family Medicine (Texas)
R4345
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

6020 Park Blvd N

Pinellas Park, Florida 33781-3228

Phone: (855) 353-7546

Additional Practice Location

609 Indian Rocks Rd

Belleair, Florida 33756-2056

Phone: (855) 353-7546

Fax: (727) 315-0911

Additional Practice Location

1450 6th St Se

Winter Haven, Florida 33880-4505

Phone: (855) 353-7546

Fax: (863) 294-2767

Additional Practice Location

5808 S Jog Rd

Lake Worth, Florida 33467-6511

Phone: (561) 968-7546

Fax: (561) 968-1143

Additional Practice Location

1100 S Federal Hwy Ste 100

Deerfield Beach, Florida 33441-7000

Phone: (954) 943-9670

Fax: (954) 943-9671

Additional Practice Location

715 W Boynton Beach Blvd Ste C

Boynton Beach, Florida 33426-3625

Phone: (561) 968-7546

Fax: (561) 968-1143

Record Information

Enumeration Date
March 28, 2014
Provider's NPPES Record Last Updated
September 27, 2024
Certification Date
September 27, 2024
NPISignal NPPES Dataset
August 2026

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