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

ADULT AND PEDIATRIC DERMATOLOGY PRACTITIONERS P A

Active Organization

ADULT AND PEDIATRIC DERMATOLOGY PRACTITIONERS P A is a Specialist organization located in PORT ST LUCIE, Florida. NPI 1417620469 is currently active in the NPPES registry. Verify at CMS.

Specialist · PORT ST LUCIE, FL

Registration Details

NPI Number
1417620469
Provider Type
Organization
NPI Issued
Jul 27, 2021 (5.0699151296113 yrs)
Last Updated
Jul 27, 2021

Practice Information

Address
8980 S US HIGHWAY 1 STE 103
PORT ST LUCIE, FL, 349523482
Browse FL providers · Browse ZIP 34952
Phone
7724469100
Fax
7724469810
Primary Specialty
Specialist
174400000X
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.