Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SKIN DERMATOLOGY LLC
NPI 1821909714
Dermatology in Ponte Vedra Beach, FL

Active since September 17, 2026
166 A1A N STE 200, PONTE VEDRA BEACH, FL 32082(253) 226-2798 Get Directions Write a Review

NPPES record added: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Skin Dermatology Llc NPPES

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

SKIN DERMATOLOGY LLC (NPI 1821909714) is a healthcare organization registered as a dermatology in Ponte Vedra Beach, Florida and active in the NPI registry since September 2026. The organization lists Mitchell Brady, Owner, as its authorized official.

NPPES Registry Identity

NPI1821909714
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN DERMATOLOGY LLC
Location Address166 A1A N STE 200Ponte Vedra Beach, FL 32082-5701
Mailing Address166 A1a N Ste 200Ponte Vedra Beach, FL 32082-5701
Organization SubpartNo
Authorized OfficialMitchell BradyOwner · (253) 226-2798
Enumeration DateSeptember 17, 2026
NPPES CertifiedSeptember 17, 2026
NPI 1821909714 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.
166 A1A N STE 200, Ponte Vedra Beach, FL 32082

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 Skin Dermatology LLC's NPI number?

The NPI number for Skin Dermatology LLC is 1821909714. It was assigned to this organization in the NPPES registry on September 17, 2026.

Where is Skin Dermatology LLC located?

Skin Dermatology LLC is located at 166 A1a N Ste 200, Ponte Vedra Beach, FL 32082. The listed phone number is (253) 226-2798.

What is Skin 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 Skin Dermatology LLC was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.