VISAGE DERMATOLOGY, LLC is a specialist in St Petersburg, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. VISAGE DERMATOLOGY, LLC NPI is 1932200045. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5253 CENTRAL AVE
ST PETERSBURG, FL
ZIP 33710-141
Phone: (727) 388-6982
The provider's authorized official is Alexandria Kongsiri .
The authorized official title is Physician and has the following contact phone number (727) 388-6982.
The CLIA number assigned to this NPI record is 10D2247223 - physician office with a certificate type of Certificate of Registration.
The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/17/2008.