CORAL REEF DERMATOLOGY LLC
NPI 1487300521
Dermatology in Port St Lucie, FL

Active since February 28, 2022
160 NW CENTRAL PARK PLAZA, SUITE 103, PORT ST LUCIE, FL 34986(772) 882-5612 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1487300521
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCORAL REEF DERMATOLOGY LLC
Location Address160 NW CENTRAL PARK PLAZA, SUITE 103Port St Lucie, FL 34986
Mailing Address160 Nw Central Park Plaza Suite 103Port St Lucie, FL 34986
Organization SubpartNo
Authorized OfficialCharlene MooreOwner/manager · (772) 882-5612
Enumeration DateFebruary 28, 2022
NPPES CertifiedFebruary 28, 2022
NPI 1487300521 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.
160 NW CENTRAL PARK PLAZA, Port St Lucie, FL 34986

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

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.