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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COUNTRYSIDE DERMATOLOGY AND LASER CENTER INC

Active Organization

COUNTRYSIDE DERMATOLOGY AND LASER CENTER INC is a Dermatology organization located in CLEARWATER, Florida. NPI 1194914978 is currently active in the NPPES registry. Verify at CMS.

Dermatology · CLEARWATER, FL

Registration Details

NPI Number
1194914978
Provider Type
Organization
NPI Issued
Oct 17, 2007 (18.857010951358 yrs)
Last Updated
Oct 17, 2007
License
46341 (FL)

Practice Information

Address
2467 ENTERPRISE RD
SUITE A
CLEARWATER, FL, 337631724
Browse FL providers · Browse ZIP 33763
Phone
7277911411
Fax
7277911419
Primary Specialty
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.