Individual provider · Type 1 NPI

Kristin Widick Smallwood, MD

Pediatric Dermatology Physician · Cocoa Beach, FL

NPI number 1346350352 Active

Practice location

1980 N Atlantic Ave, Suite 722
Cocoa Beach, FL 32931-5213

Fax (321) 799-4424

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X0056367 (FL)
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X0056367 (FL)
Pediatric Dermatology Physician Primary 207NP0225X0056367 (FL)
Procedural Dermatology Physician 207NS0135X0056367 (FL)

Pediatric Dermatology Physician: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

23 other providers at this address

About NPI 1346350352

Kristin Widick Smallwood, MD's National Provider Identifier is 1346350352, issued on Aug 30, 2006. The primary taxonomy on file is Pediatric Dermatology Physician (207NP0225X), and the practice location is in Cocoa Beach, FL. The record was last updated on Sep 11, 2025.