Atlantic Dermatology Llc

LBN: Atlantic Dermatology Llc
Atlantic Dermatology Llc is an health care organization with primary practice located at 1980 N Atlantic Ave Suite 722, Cocoa Beach FL 32931-5213. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is the primary health care specialty. Atlantic Dermatology Llc can be contacted via phone (321) 784-8811, or through Smallwood, Kristin Widick via phone (321) 784-8811.

Contact Information

Primary practice address
1980 N Atlantic Ave Suite 722 Cocoa Beach FL 32931-5213
Phone: (321) 784-8811
Fax: (321) 799-4424
Website:
Map and Directions
Authorized official contact:
Name: Smallwood, Kristin Widick Doctor of Medicine (MD)
Phone: (321) 784-8811

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1306957378
LBN Legal business name Atlantic Dermatology Llc
DBA Doing business as
Authorized official Smallwood, Kristin Widick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 11th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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