Organization · Type 2 NPI

Divine Dermatology and Surgical Institute, PLLC

Medical Specialty Clinic/Center · Fort Collins, CO

NPI number 1215460290 Active

Practice location

1260 Doctors Ln
Fort Collins, CO 80524-4038

Call (813) 765-8453 Map

Mailing address

1260 Doctors Ln Ste A
Fort Collins, CO 80524-4072

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XDR.0058205 (CO)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2 other providers at this address

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About NPI 1215460290

Divine Dermatology and Surgical Institute, PLLC's National Provider Identifier is 1215460290, issued on Apr 6, 2017. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Fort Collins, CO. The record was last updated on Sep 10, 2024.