COUNTRYSIDE DERMATOLOGY AND LASER CENTER INC
NPI 1194914978
Dermatology in Clearwater, FL

Active since October 17, 2007
2467 ENTERPRISE RD, SUITE A, CLEARWATER, FL 33763(727) 791-1411(727) 791-1419 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Countryside Dermatology And Laser Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRYSIDE DERMATOLOGY AND LASER CENTER INC (NPI 1194914978) is a healthcare organization registered as a dermatology in Clearwater, Florida and active in the NPI registry since October 2007. The organization lists Susan S Roper, Owner, as its authorized official.

NPPES Registry Identity

NPI1194914978
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOUNTRYSIDE DERMATOLOGY AND LASER CENTER INC
Location Address2467 ENTERPRISE RD, SUITE AClearwater, FL 33763-1724
Mailing Address2467 Enterprise Rd, Suite AClearwater, FL 33763-1724 · (727) 791-1411 · Fax (727) 791-1419
Fax(727) 791-1419
Organization SubpartNo
Authorized OfficialSusan S RoperOwner · (727) 791-1411
Enumeration DateOctober 17, 2007
NPI 1194914978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · 46341
Definition
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 and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2467 ENTERPRISE RD, Clearwater, FL 33763

Other Identifiers 1

Medicare PINK1008FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2467 ENTERPRISE RD, STE. D
CLEARWATER, FL 33763
Chiropractor
2467 ENTERPRISE RD, SUITE D
CLEARWATER, FL 33763
Dentist
2467 ENTERPRISE RD, SUITE F
CLEARWATER, FL 33763
Chiropractor
2467 ENTERPRISE RD, STE. D
CLEARWATER, FL 33763
Dentist (General Practice)
2467 ENTERPRISE RD, SUITE F
CLEARWATER, FL 33763
Chiropractor
2467 ENTERPRISE RD, SUITE D
CLEARWATER, FL 33763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Countryside Dermatology And Laser Center Inc's NPI number?

The NPI number for Countryside Dermatology And Laser Center Inc is 1194914978. It was assigned to this organization in the NPPES registry on October 17, 2007.

Where is Countryside Dermatology And Laser Center Inc located?

Countryside Dermatology And Laser Center Inc is located at 2467 Enterprise Rd Suite A, Clearwater, FL 33763. The listed phone number is (727) 791-1411.

What is Countryside Dermatology And Laser Center Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Countryside Dermatology And Laser Center Inc was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.