PRESTIGE DERMATOLOGY
NPI 1417241332
Dermatology in New Port Richey, FL

Active since June 08, 2011
4546 GRAND BLVD, NEW PORT RICHEY, FL 34652(727) 849-1447 Get Directions Write a Review

NPPES record last updated: June 8, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Prestige Dermatology NPPES

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

PRESTIGE DERMATOLOGY (NPI 1417241332) is a healthcare organization registered as a dermatology in New Port Richey, Florida and active in the NPI registry since June 2011. The organization lists Stephen M Jenks, Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1417241332
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCANDESCENT PRESTIGE LLC
Location Address4546 GRAND BLVDNew Port Richey, FL 34652-5119
Mailing Address4546 Grand BlvdNew Port Richey, FL 34652-5119 · (727) 849-1447
Organization SubpartNo
Authorized OfficialStephen M JenksDirector/ceo · (617) 262-1450
Enumeration DateJune 8, 2011
✔ NPI 1417241332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · OS7718
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.
4546 GRAND BLVD, New Port Richey, FL 34652

Other Names 1

Doing Business AsPrestige Dermatology

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.

Internal Medicine
4546 GRAND BLVD
NEW PORT RICHEY, FL 34652
Nurse Practitioner (Family)
4546 GRAND BLVD
NEW PORT RICHEY, FL 34652

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 Candescent Prestige LLC's NPI number?

The NPI number for Candescent Prestige LLC is 1417241332. It was assigned to this organization in the NPPES registry on June 8, 2011. The provider is doing business as Prestige Dermatology.

Where is Candescent Prestige LLC located?

Candescent Prestige LLC is located at 4546 Grand Blvd, New Port Richey, FL 34652. The listed phone number is (727) 849-1447.

What is Candescent Prestige LLC'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 Candescent Prestige LLC was last updated on June 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.