Organization · Type 2 NPI

Visage Dermatology, LLC

Specialist · St. Petersburg, FL

NPI number 1932200045 Active

Practice location

5253 Central Ave
St. Petersburg, FL 33710-8141

Call (727) 388-6982 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME83035 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1932200045

Visage Dermatology, LLC's National Provider Identifier is 1932200045, issued on Sep 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 17, 2008.