Atlantic Dermatology LLC
NPI #1306957378 in Cocoa Beach, Florida
Provider Information
- NPI Number
- 1306957378
- Entity Type
- Organization
- Organization Name
- Atlantic Dermatology LLC
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1980 N ATLANTIC AVE
- Address 2
- SUITE 722
- City
- Cocoa Beach
- State
- Florida
- ZIP Code
- 32931-5213
- Phone
- (321) 784-8811
Authorized Official
- Name
- MRS. KRISTIN WIDICK SMALLWOOD, M.D.
- Title
- PRESIDENT
- Phone
- (321) 784-8811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
| Dermatology - Clinical & Laboratory Dermatological Immunology — Clinical & Laboratory Dermatological Immunology |
| Dermatology - Pediatric Dermatology — Pediatric Dermatology |
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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