Countryside Dermatology and Laser Center Inc
NPI 1194914978 · Dermatology Physician · Clearwater, FL
Countryside Dermatology and Laser Center Inc is a Dermatology Physician organization in Clearwater, FL (NPI 1194914978).
Provider details
- NPI number
- 1194914978
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Roper, Owner(727) 791-1411
- License
- 46341 (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
- 2007-10-17
- Last updated
- 2007-10-17
Frequently asked questions
- What is Countryside Dermatology and Laser Center Inc's NPI number?
- Countryside Dermatology and Laser Center Inc's National Provider Identifier (NPI) is 1194914978, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Dermatology and Laser Center Inc?
- Countryside Dermatology and Laser Center Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Countryside Dermatology and Laser Center Inc located?
- Countryside Dermatology and Laser Center Inc's practice location on file with NPPES is 2467 Enterprise Rd, Clearwater, FL 33763-1724.
- What is Countryside Dermatology and Laser Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Countryside Dermatology and Laser Center Inc is (727) 791-1411.
- Who is the authorized official for Countryside Dermatology and Laser Center Inc?
- The authorized official listed on Countryside Dermatology and Laser Center Inc's NPPES record is Susan Roper, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Dermatology and Laser Center Inc's NPI active?
- Yes — Countryside Dermatology and Laser Center Inc's NPI (1194914978) is active in the NPPES registry as of the last update on 2007-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.