CORAL REEF DERMATOLOGY LLC
NPI 1487300521
Dermatology in Port St Lucie, FL
About Coral Reef Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORAL REEF DERMATOLOGY LLC (NPI 1487300521) is a healthcare organization registered as a dermatology in Port St Lucie, Florida and active in the NPI registry since February 2022. The organization lists Charlene Moore, Owner/manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Coral Reef Dermatology LLC's NPI number?
The NPI number for Coral Reef Dermatology LLC is 1487300521. It was assigned to this organization in the NPPES registry on February 28, 2022.
Where is Coral Reef Dermatology LLC located?
Coral Reef Dermatology LLC is located at 160 NW Central Park Plaza Suite 103, Port St Lucie, FL 34986. The listed phone number is (772) 882-5612.
What is Coral Reef Dermatology 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 Coral Reef Dermatology LLC was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.