Citrus Park Dermatology, PA
NPI 1174703318 · Dermatology Physician · Tampa, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Citrus Park Dermatology, PA is a Dermatology Physician organization in Tampa, FL (NPI 1174703318).
Provider details
- NPI number
- 1174703318
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Smith, President(813) 269-4122
- License
- ME 72688 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-05
- Last updated
- 2007-11-05
Frequently asked questions
- What is Citrus Park Dermatology, PA's NPI number?
- Citrus Park Dermatology, PA's National Provider Identifier (NPI) is 1174703318, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Citrus Park Dermatology, PA?
- Citrus Park Dermatology, PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Citrus Park Dermatology, PA located?
- Citrus Park Dermatology, PA's practice location on file with NPPES is 6540 Gunn Hwy, Tampa, FL 33625-4022.
- What is Citrus Park Dermatology, PA's phone number?
- The practice phone number listed in the NPPES registry for Citrus Park Dermatology, PA is (813) 269-4122.
- Does Citrus Park Dermatology, PA accept Medicare?
- Citrus Park Dermatology, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Citrus Park Dermatology, PA?
- The authorized official listed on Citrus Park Dermatology, PA's NPPES record is Kimberly Smith, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Citrus Park Dermatology, PA's NPI active?
- Yes — Citrus Park Dermatology, PA's NPI (1174703318) is active in the NPPES registry as of the last update on 2007-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.