GULFSHORE DERMATOLOGY AT CORALWOOD, PA


Address: 326 Del Prado Blvd N Ste 301, Cape Coral, FL 33909-2288
Phone: 2394581131

GULFSHORE DERMATOLOGY AT CORALWOOD, PA (NPI# 1376029579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376029579
Entity Type Organization
Organization Name GULFSHORE DERMATOLOGY AT CORALWOOD, PA
Practice Address 326 Del Prado Blvd N Ste 301
Cape Coral
FL 33909-2288
Practice Telephone 2394581131
Practice Fax Number 2394587789
Mailing Telephone 2394581131
Mailing Fax Number 2394587789
Enumeration Date 2018-07-11
Last Update Date 2018-07-11
Authorized Official Name MR. ANDREW LEOPOLD SMITH (VICE PRESIDENT)
Authorized Official Telephone 2394370562
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207NS0135X Dermatology
Specialization: Procedural Dermatology
ME74107 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 326 DEL PRADO BLVD N STE 301
City CAPE CORAL
State FL
Zip Code 33909-2288

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447886585 Alyssa Fero Nurse Practitioner 326 Del Prado Blvd N Ste 301, Cape Coral, FL 33909-2288 2020-03-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417433970 Vicky Doreen Duhaime Nurse Practitioner 636 Delprado Blvd South, Cape Coral, FL 33909 2018-07-17
1639562416 Kimberly Caggiano Physical Therapy Assistant 2113 Ne 4th Ave, Cape Coral, FL 33909 2015-03-18
1669861027 Jerkita Mcclorin Case Manager/Care Coordinator 409 Ne 11th Place, Cape Coral, FL 33909 2015-01-22
1033527361 Jhony R Espinoza Dentist 1751 Ne Pine Island Rd Ste 130, Cape Coral, FL 33909 2014-07-30
1568738581 Arcadia Nursing Home Inc Home Health 441 N. Del Prado Blvd., Suite #2, Cape Coral, FL 33909 2012-03-23
1689731762 Lanie Soriano Benzon Physical Therapist 523 E Cape Coral Pkwy, Cape Coral, FL 33909 2007-01-02
1790840676 One Price Optical Optometrist 325 North Del Prado, Cape Coral, FL 33909 2006-12-22
1801969282 Jerry Todd Mcclaran Dentist 2688 Sunset Lake Drive, Cape Coral, FL 33909 2006-11-15
1891805651 Edward Joseph Hope Physical Therapy Assistant 601 Del Prado Blvd N, #3, Cape Coral, FL 33909 2006-08-30
1972577906 Misty Dawn Green Chiropractor 1224 Alabar Ln, Cape Coral, FL 33909 2006-02-15
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Taxonomy Information

Taxonomy Code 207NS0135X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Procedural Dermatology

Taxonomy Definition

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).
Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033315858 Fred T Creech Md Pa Dermatology 304 Del Prado Blvd S Ste C, Cape Coral, FL 33990-5704 2007-06-27
1215142567 Fort Myers Dermatopathology Dermatology 643 Cape Coral Pkwy E, Suite E, Cape Coral, FL 33904-8549 2007-05-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013579002 Alicia Nunez Dermatology 1000 W Broadway St Ste 206, Oviedo, FL 32765-9262 2019-07-01
1477114197 Leslie Z Rohaidy Dermatology 55 Se 6th St Apt 3101, Miami, FL 33131-2570 2019-06-24
1033639786 Beautysmart Dermatology Clinic and Medical Spa LLC Dermatology 94 S Federal Hwy, Boca Raton, FL 33432-4825 2017-06-23
1215319793 Orlando Skin Institute, LLC Dermatology 110 Pond Ct, Ste 301, Debary, FL 32713 2015-06-22
1336584960 Devorah R Shagalov Dermatology 3850 Hollywood Blvd Ste 403, Hollywood, FL 33021-6746 2013-05-09
1871834606 Geoffrey Michael Siegel Dermatology 478 Alamanda Dr, Hallandale Beach, FL 33009-6508 2013-03-04
1174852560 Nautilus Health Care Group, LLC Dermatology 5220 Belfort Rd S, Ste 130, Jacksonville, FL 32256 2009-12-14
1447494885 Matteo Taerri Dermatology 510 Howard Ct, Sarasota, FL 34236-5050 2009-04-29
1336319045 Miloslava Mician Md Pa Dermatology 3619 W Waters Ave, Tampa, FL 33614-2783 2008-03-10
1780852202 Michael J. Rogers Md Dermatology 727 Us 27 S, Sebring, FL 33870-2169 2008-02-19
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City CAPE CORAL
Zip Code 33909

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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