ST PETERSBURG SKIN AND LASER CENTER LLC
NPI 1205475761
Dermatology in St Petersburg, FL

Active since January 02, 2020
100 40TH AVE N, ST PETERSBURG, FL 33703(727) 474-9399(202) 436-9358 Get Directions Write a Review

NPPES record last updated: May 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2020, Jan 2, 2020 (2 updates tracked since 2020).

About St Petersburg Skin And Laser Center Llc NPPES

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

ST PETERSBURG SKIN AND LASER CENTER LLC (NPI 1205475761) is a healthcare organization registered as a dermatology in St Petersburg, Florida and active in the NPI registry since January 2020. The organization lists Katarina R Kesty, Physician, as its authorized official.

NPPES Registry Identity

NPI1205475761
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameST PETERSBURG SKIN AND LASER CENTER LLC
Location Address100 40TH AVE NSt Petersburg, FL 33703-6125
Mailing Address100 40th Ave NSt Petersburg, FL 33703-6125 · (727) 474-9399 · Fax (202) 436-9358
Fax(202) 436-9358
Organization SubpartNo
Authorized OfficialKatarina R KestyPhysician · (727) 474-4938
Enumeration DateJanuary 2, 2020
Last NPPES UpdateMay 28, 20202 updates tracked since enumeration
NPPES CertifiedMay 28, 2020
NPI 1205475761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
100 40TH AVE N, St Petersburg, FL 33703

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dermatology
100 40TH AVE N
ST PETERSBURG, FL 33703
Dermatology
100 40TH AVE N
ST PETERSBURG, FL 33703

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 St Petersburg Skin And Laser Center LLC's NPI number?

The NPI number for St Petersburg Skin And Laser Center LLC is 1205475761. It was assigned to this organization in the NPPES registry on January 2, 2020.

Where is St Petersburg Skin And Laser Center LLC located?

St Petersburg Skin And Laser Center LLC is located at 100 40th Ave N, St Petersburg, FL 33703. The listed phone number is (727) 474-9399.

What is St Petersburg Skin And Laser Center LLC's specialty?

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

What insurance does St Petersburg Skin And Laser Center LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Wellpoint list St Petersburg Skin And Laser Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Petersburg Skin And Laser Center LLC was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.