Edward B. Lack, MD
Dermatology Physician · Brandon, FL
Edward B. Lack, MD is a dermatology physician with a practice address in Brandon, Florida, and NPI 1417955584, issued on Jul 12, 2005. Check the license (Florida ME114654, as entered in NPPES) on the Florida health license search; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Edward B. Lack
- Credential
- MD
- Primary taxonomy
- Dermatology Physician 207N00000X
- License numbers
- ME114654 FL
036-043409 IL
Self-reported in NPPES; status is on the state search - Practice location
- 540 Medical Oaks Ave, Brandon, FL 33511
- Phone
- (813) 651-1991
- Enumerated
- Jul 12, 2005
- Record last updated
- Nov 15, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (813) 651-1401
- Entity
- Type 1 · individual
8 nearest dermatology physician records → All 1,213 in Florida → Look up another NPI →
Also registered at 540 Medical Oaks Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Lawrence Taylor, MDOphthalmology Physician1699771873
Verify Edward B. Lack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME114654Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Edward B. Lack among 1,213 dermatology physician records in Florida
Edward B. Lack, MD is one of 1,213 dermatology physician records with a practice address in Florida. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 86% newer
- In a Medicare fileNo · 86% of these records are
- In the CMS Doctors and Clinicians fileNo · 74% of these records are
- Record last updated2016 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207N00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Dermatology Physician providers in Florida
There are 1,213 dermatology physician records in Florida. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 1,213 in Florida → Every provider in Brandon → Dermatology Physician nationwide →
The 8 dermatology physician records with the nearest ZIP codes
- McKenna Abercrombie Dewees, DOBrandon, FL 335111902366008
- Michael Abrouk, MDBrandon, FL 335111841725330
- Ricardo Berrios, M.D.Brandon, FL 335111730348673
- Francis Caban, M.D.Brandon, FL 335111518012582
- Kathleen Colorado, M.D.Brandon, FL 335111336137694
- Brittany Hearn, D.O.Brandon, FL 335111417396714
- Kathyleen Hedrick, MS ARNPBrandon, FL 335111437184785
- Jerry Hedrick, MDBrandon, FL 335111164457412
Common questions
What is Edward B. Lack, MD's NPI number?
Edward B. Lack, MD's National Provider Identifier (NPI) is 1417955584, issued on Jul 12, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Edward B. Lack, MD located?
The NPPES record lists a practice address at 540 Medical Oaks Ave, Brandon, FL, 33511. Phone: (813) 651-1991. Providers update this record themselves, so call before visiting.
How can I verify Edward B. Lack, MD's license?
NPPES lists Florida license number ME114654, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.