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GULFSHORE DERMATOLOGY AT CORALWOOD, PA
NPI 1376029579
Dermatology - Procedural Dermatology in Cape Coral, FL

Active since July 11, 2018
326 DEL PRADO BLVD N STE 301, CAPE CORAL, FL 33909(239) 458-1131(239) 458-7789 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Gulfshore Dermatology At Coralwood, Pa NPPES

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

GULFSHORE DERMATOLOGY AT CORALWOOD, PA (NPI 1376029579) is a healthcare organization registered as a procedural dermatology in Cape Coral, Florida and active in the NPI registry since July 2018. The organization lists Andrew Leopold Smith, Vice President, as its authorized official.

NPPES Registry Identity

NPI1376029579
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameGULFSHORE DERMATOLOGY AT CORALWOOD, PA
Location Address326 DEL PRADO BLVD N STE 301Cape Coral, FL 33909-2288
Mailing Address326 Del Prado Blvd N Ste 301Cape Coral, FL 33909-2288 · (239) 458-1131 · Fax (239) 458-7789
Phone(239) 458-1131
Fax(239) 458-7789
Organization SubpartNo
Authorized OfficialAndrew Leopold SmithVice President · (239) 437-0562
Enumeration DateJuly 11, 2018
✔ NPI 1376029579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in FL · ME74107
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
326 DEL PRADO BLVD N STE 301, Cape Coral, FL 33909
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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 2

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

MRS. ALYSSA THAYER APRN
Nurse Practitioner (Family)
326 DEL PRADO BLVD N STE 301
CAPE CORAL, FL 33909
Lee County (239) 458-1131
AMERICAN ONCOLOGY PARTNERS, P.A.
Internal Medicine (Hematology & Oncology)
326 DEL PRADO BLVD N STE 301
CAPE CORAL, FL 33909
Lee County (239) 217-8011

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 Gulfshore Dermatology At Coralwood, PA's NPI number?

The NPI number for Gulfshore Dermatology At Coralwood, PA is 1376029579. It was assigned to this organization in the NPPES registry on July 11, 2018.

Where is Gulfshore Dermatology At Coralwood, PA located?

Gulfshore Dermatology At Coralwood, PA is located at 326 Del Prado Blvd N Ste 301, Cape Coral, FL 33909. The listed phone number is (239) 458-1131.

What is Gulfshore Dermatology At Coralwood, PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Gulfshore Dermatology At Coralwood, PA was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.