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DIVINE DERMATOLOGY PLLC
NPI 1508976010
Dermatology in St Petersburg, FL

Active since August 30, 2006CLIA 10D2332078 · Certificate of Compliance
2191 9TH AVE N STE 100, ST PETERSBURG, FL 33713(727) 528-0321(727) 498-8832 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Divine Dermatology Pllc NPPES

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

DIVINE DERMATOLOGY PLLC (NPI 1508976010), doing business as Prime Dermatology, is a healthcare organization registered as a dermatology in St Petersburg, Florida and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 13, 2027 and lists Neha Chandan, Owner, as its authorized official.

NPPES Registry Identity

NPI1508976010
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDIVINE DERMATOLOGY PLLC
Location Address2191 9TH AVE N STE 100St Petersburg, FL 33713-7147
Mailing Address2191 9th Ave N Ste 100St Petersburg, FL 33713-7147 · (727) 528-0321 · Fax (727) 498-8832
Phone(727) 528-0321
Fax(727) 498-8832
Organization SubpartNo
Authorized OfficialNeha ChandanOwner · (727) 528-0321
Enumeration DateAugust 30, 2006
Last NPPES UpdateJune 4, 2026
NPPES CertifiedJune 4, 2026
✔ NPI 1508976010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME87149
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
2191 9TH AVE N STE 100, St Petersburg, FL 33713
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Other Names 1

Doing Business AsPrime Dermatology

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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2332078

Divine Dermatology PLLC · Saint Petersburg, FL
Active · expires Oct 13, 2027
CLIA Number10D2332078
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorNeha Chandan
Laboratory Phone(727) 528-0321
Laboratory LocationDivine Dermatology PLLC2191 9th Ave N Suite 100, Saint Petersburg, FL 33713
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

DR. NEHA CHANDAN MD
Dermatology (MOHS-Micrographic Surgery)
2191 9TH AVE N STE 100
ST PETERSBURG, FL 33713
Pinellas County (727) 528-0321
DR. ALEXANDRA CHRISTINE SUMMITT D.N.P.
Nurse Practitioner (Family)
2191 9TH AVE N STE 100
ST PETERSBURG, FL 33713
Pinellas County (727) 528-0321
ALEECE ALLBRITTON PA-C
Physician Assistant
2191 9TH AVE N STE 100
ST PETERSBURG, FL 33713
Pinellas County (727) 528-0321

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 Divine Dermatology PLLC's NPI number?

The NPI number for Divine Dermatology PLLC is 1508976010. It was assigned to this organization in the NPPES registry on August 30, 2006. The provider is doing business as Prime Dermatology.

Where is Divine Dermatology PLLC located?

Divine Dermatology PLLC is located at 2191 9th Ave N Ste 100, St Petersburg, FL 33713. The listed phone number is (727) 528-0321.

What is Divine Dermatology PLLC's specialty?

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

Does Divine Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2332078) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Divine Dermatology PLLC accept?

Health plans from Florida Blue HMO (a BlueCross BlueShield FL company) list Divine Dermatology PLLC 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 Divine Dermatology PLLC was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.