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

DIVINE DERMATOLOGY PLLC

Active Organization

DIVINE DERMATOLOGY PLLC is a Dermatology organization located in ST PETERSBURG, Florida. NPI 1508976010 is currently active in the NPPES registry. Verify at CMS.

Dermatology · ST PETERSBURG, FL

Registration Details

NPI Number
1508976010
Provider Type
Organization
NPI Issued
Aug 30, 2006 (19.988676489617 yrs)
Last Updated
Oct 16, 2009
License
ME87149 (FL)

Practice Information

Address
2100 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG, FL, 337043264
Browse FL providers · Browse ZIP 33704
Phone
7275280321
Fax
7274988832
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.