Organization · Type 2 NPI

Divine Dermatology LLC

Dermatology Physician · St. Petersburg, FL

NPI number 1508976010 Active

Practice location

2191 9th Ave N Ste 100
St. Petersburg, FL 33713-7147

Fax (727) 498-8832

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XME87149 (FL)
MOHS-Micrographic Surgery Physician 207ND0101XNone listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1508976010

Divine Dermatology LLC's National Provider Identifier is 1508976010, issued on Aug 30, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Oct 15, 2026.