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GULFSHORE DERMATOLOGY AT CORALWOOD PA NPI 1376029579


NPI Information

NPI: 1376029579
Provider Name: GULFSHORE DERMATOLOGY AT CORALWOOD, PA
Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
326 DEL PRADO BLVD N STE 301
CAPE CORAL, FL
ZIP 33909
Phone: (239) 458-1131
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GULFSHORE DERMATOLOGY AT CORALWOOD, PA is a procedural dermatology dermatology in Cape Coral, FL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). GULFSHORE DERMATOLOGY AT CORALWOOD, PA NPI is 1376029579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

326 DEL PRADO BLVD N STE 301
CAPE CORAL, FL
ZIP 33909-288
Phone: (239) 458-1131
Fax: (239) 458-7789

The provider's authorized official is Andrew Leopold Smith .
The authorized official title is Vice President and has the following contact phone number (239) 437-0562.

The enumeration date for this NPI number is 7/11/2018 and was last updated on 7/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural DermatologyME74107FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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