OrganizationActive
Atlantic Dermatology LLC
NPI 1306957378 · Procedural Dermatology Physician · Cocoa Beach, FL
Provider details
- NPI number
- 1306957378
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristin Smallwood, President(321) 784-8811
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pediatric Dermatology Physician207NP0225X
Allopathic & Osteopathic Physicians
Practice location
1980 N Atlantic Ave
Suite 722
Cocoa Beach, FL 32931-5213
Phone: (321) 784-8811
Fax: (321) 799-4424
Approximate (ZIP-level) locationGet directions
Mailing address
1980 N Atlantic Ave
Cocoa Beach, FL 32931-5213
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.